MR. JERRY COBURN, OD
Optometrist
Active
Individual
NPI: 1083681159
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 956 (OK) |
Frequently Asked Questions
NPI 1083681159 is the National Provider Identifier for MR. JERRY COBURN, OD, a Optometrist provider located in Muskogee, OK. This NPI was enumerated on March 7, 2006.
MR. JERRY COBURN, OD practices at 742 N YORK ST, Muskogee, OK 74403.
Quick Facts
- NPI
- 1083681159
- Type
- Individual
- Enumerated
- Mar 7, 2006
- Last Updated
- Jul 8, 2010
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