DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK ALLEN BIRDSONG, M.D.

Active

General Surgery · OWASSO, OK

Registration Details

NPI Number
1295857167
Provider Type
Individual
Gender
Male
NPI Issued
Apr 4, 2007 (19.089699930661 yrs)
Last Updated
Jun 24, 2014
Licenses
94-05976 (KS)
26563 (OK)

Practice Information

Address
10512 N 110TH EAST AVE
SUITE 240
OWASSO, OK, 740556636
Browse OK providers · Browse ZIP 74055
Phone
9182121200
Fax
9182121201
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery

Other General Surgery Providers in OWASSO, OK

Name Credential NPI
DR. MARTHA A MALONE DO 1336347020
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.