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Individual

DR. JOHN WILLIAM ERVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4400
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 660-8350
(918) 660-8355

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33711
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500694558
OR
05
878690060A
GA
Enumeration date
08/30/2005
Last updated
08/29/2018
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