Individual
MATTHEW ZACHARY COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1705 E 19TH ST STE 502, TULSA, OK 74104-5416
(918) 748-7800
(918) 403-6349
Mailing address
1705 E 19TH ST STE 502, TULSA, OK 74104-5416
(918) 748-7800
(918) 403-6349
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27273
OK
Other
Enumeration date
07/09/2009
Last updated
10/02/2020
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