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Individual

ERIC W SHERBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5005 S DARLINGTON AVE # 100, TULSA, OK 74135-7307
(918) 619-4400
(918) 619-4662
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 619-4400
(918) 619-4662

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
21448
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100136580B
OK
Enumeration date
04/05/2006
Last updated
01/31/2017
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