MR. Jerry K Coburn, OD

NPI #1083681159 in Muskogee, Oklahoma

Provider Information

NPI Number: 1083681159
Entity Type: Individual
Name: MR. Jerry K Coburn, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 7, 2006
Last Updated: Jul 8, 2010

Practice Location

Address: 742 N YORK ST
City: Muskogee
State: Oklahoma
ZIP Code: 74403-3866
Phone: (918) 682-7752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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