Individual
DR. JAMES R COLVERT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 E OKLAHOMA AVE, STE 202, ENID, OK 73701-5952
(580) 233-3230
(580) 233-0698
Mailing address
615 E OKLAHOMA AVE, STE 202, ENID, OK 73701-5952
(580) 233-3230
(580) 233-0698
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
21222
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200015940A
—
OK
01
—
P000052000
RAILROAD M/C
OK
Enumeration date
06/01/2005
Last updated
08/26/2014
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