Individual
MR. CALEB MCKENZIE SEVERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 E 19TH ST STE 302, TULSA, OK 74104-5410
(918) 748-7585
(918) 403-6352
Mailing address
1705 E 19TH ST STE 302, TULSA, OK 74104-5410
(918) 748-7585
(918) 403-6352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6253
OK
208M00000X
Hospitalist Physician
Primary
6253
OK
Other
Enumeration date
03/14/2016
Last updated
07/08/2019
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