Mark Waller is a Anesthesiology in Tulsa, Oklahoma. Mark Waller practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Mark Waller is 1265494314. The last update date is 2015-05-28.
Mark Waller's current location address is 1611 S Utica Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9187443664 and fax number 9187487688. The mailing address for Mark Waller is 1611 S Utica Ave, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Waller |
|---|---|
| Address | 1611 S Utica Ave, Tulsa, Oklahoma |
| Phone Number | 9187443664 |
| Fax Number | 9187487688 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1265494314 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2015-05-28 |
Provider Mailing Address Detail
| Address | 1611 S Utica Ave |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741044909 |
| Phone Number | 9187443664 |
| Fax Number | 9187487688 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiology |
|---|---|
| Taxonomy | 207L00000X |
| Licence No | 18067 |
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Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00370953 | OK | RR MEDICARE | |
| 100031900A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark Waller by the Centers for Medicare & Medicaid Services?
The Mark Waller has been assigned the NPI (National Provider Identifier) 1265494314 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Mark Waller is physically located?
The Mark Waller is physically situated at the following address: 1611 S Utica Ave, Tulsa, OK, 741044909.
What is the Mark Waller's specialty and taxonomy code?
The Mark Waller's specialty is Anesthesiology, and the corresponding taxonomy code is 207L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1265494314 to Mark Waller?
The Centers for Medicare & Medicaid Services assigned the 1265494314 to Mark Waller on 2006-04-04.
When was the information regarding Mark Waller most recently updated?
The details pertaining to the Mark Waller, including its address, specialty, and other relevant information, were last refreshed on 2015-05-28.
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