Individual provider · Type 1 NPI

Mark Wayne Perdue, P.A.

Medical Physician Assistant · Tulsa, OK

NPI number 1376501189 Active

Practice location

1717 S Utica Ave Ste A
Tulsa, OK 74104-5346

Call (918) 748-7557 Map

Fax (918) 748-7514

Mailing address

1515 N Harvard Ave, Ste E
Tulsa, OK 74115-4957

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1317 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1376501189

Mark Wayne Perdue, P.A.'s National Provider Identifier is 1376501189, issued on May 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tulsa, OK. The record was last updated on Apr 13, 2010.