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Individual

DR. OLIVER CERQUEIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
591 E 36TH ST N, TULSA, OK 74106-1812
(918) 619-4400
(918) 619-4110
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 619-8700
(918) 619-4110

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4287
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200113960A
OK
05
200113960B
OK
Enumeration date
02/26/2007
Last updated
08/23/2016
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