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Individual

DR. CARL L. SYLVESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13321 N MERIDIAN AVE, SUITE 110, OKLAHOMA CITY, OK 73120-8356
(405) 778-8993
(405) 778-8994
Mailing address
DEPT 96-0392, OKLAHOMA CITY, OK 73196-0392
(405) 778-8993
(405) 778-8994

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
23324
OK
207W00000X
Ophthalmology Physician
Primary
23324
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
731434343
TAX ID#
OK
01
P00342407 CS5077
RR MEDICARE
OK
Enumeration date
01/16/2007
Last updated
03/15/2021
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