Individual
LAYNE EVAN SUBERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 E 2ND ST, SKIATOOK, OK 74070-1211
(918) 396-1262
(918) 396-4598
Mailing address
PO BOX 428, SKIATOOK, OK 74070-0428
(918) 396-1262
(918) 396-4598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3385
OK
Other
Enumeration date
07/22/2006
Last updated
12/22/2015
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