Mrs. Mary Samantha Baze
Mrs. Mary Samantha Baze is a Student in an Organized Health Care Education/Training Program in Durant, Oklahoma. Works from 2 locations. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Durant, OKFax: (580) 924-1991
No coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1111 W 17th St, Tulsa, OK 74107-1886 — (918) 582-1972
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 8813 (OK) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1942962568 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 11, 2021 |
| Last updated in NPPES | January 31, 2025 |
| Certification date | January 30, 2025 |
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Dr. Jantzen Josef Faulkner, DO
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Emma Michelle Harrington
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Daniel Young Kim, DO
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Dr. Autumn Hope Purcell
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