Provider Demographics
NPI:1578644803
Name:PEYTON, MARVIN L (MD)
Entity Type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:L
Last Name:PEYTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2301 W I 44 SERVICE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-8729
Mailing Address - Country:US
Mailing Address - Phone:405-607-2233
Mailing Address - Fax:405-286-1303
Practice Address - Street 1:2301 W I 44 SERVICE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-8729
Practice Address - Country:US
Practice Address - Phone:405-607-2233
Practice Address - Fax:405-286-1303
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK240052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry