Individual
DR. CARL NYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4221 S WESTERN AVE STE 3030, OKLAHOMA CITY, OK 73109
(405) 636-7650
(405) 636-7743
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 636-7650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME131845
FL
Other
Enumeration date
06/24/2014
Last updated
07/18/2018
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