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Contact Information

MARY MASTERMAN, MD
2100 W IOWA AVE STE A
CHICKASHA, OK73018
 Phone: 405-224-2100
 Fax: 405-779-2310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARY MASTERMAN · (Female)

NPI # 1225487655
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2016
Last updated 08/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 34682
  • OK Medicaid PENDING
Hospital affiliation(s)
  • ST ANTHONY HOSPITAL - (Acute Care)
    1000 NORTH LEE AVENUE
    OKLAHOMA CITY, OK 73101
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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