Individual
DR. SHERISA WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3200 QUAIL SPRINGS PKWY STE 200, OKLAHOMA CITY, OK 73134-2699
(405) 701-9880
(405) 701-9881
Mailing address
PO BOX 258857, OKLAHOMA CITY, OK 73125-8857
(405) 241-3539
(405) 241-0998
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101018187
MI
208600000X
Surgery Physician
7204
OK
208600000X
Surgery Physician
TP417
KY
2086S0129X
Vascular Surgery Physician
Primary
7204
OK
2086S0129X
Vascular Surgery Physician
TP417
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7204
STATE LICENSE
OK
Enumeration date
05/11/2010
Last updated
05/17/2021
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