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Caleb McKenzie Severns

Hospitalist in Tulsa, OK. Individual provider (NPI-1).

NPI number1043671365
StatusActive
Last updated in NPPESJul 8, 2019

Details

NPI
1043671365
Entity type
Individual (NPI-1)
Name
Mr. Caleb McKenzie Severns
Sex
Male
Sole proprietor
No
Enumeration date
Mar 14, 2016
Last updated
Jul 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist6253OKYes
207R00000X Internal Medicine6253OK

Practice location

1705 E 19th St Ste 302
Tulsa, OK 74104-5410

Phone 918-748-7585 · Fax 918-403-6352

Mailing address

1705 E 19th St Ste 302
Tulsa, OK 74104-5410

Phone 918-748-7585 · Fax 918-403-6352

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