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NPI Code Detail

MEDICARE: DR. SAMUEL CLAYTON KORBE M.D.

MEDICARE: DR. SAMUEL CLAYTON KORBE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0014XInterventional Pain Medicine Physician31892OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912297805
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL CLAYTON KORBE M.D.
Provider Business Mailing Address
First Line : 6600 S YALE AVE STE 1400
Second Line :
City : TULSA
State : OK
Zip : 74136-3331
Country : US
Telephone Number : 888-247-0125
Fax Number : 918-502-8210
Provider Business Practice Location Address
First Line : 6475 S YALE AVE STE 308
Second Line :
City : TULSA
State : OK
Zip : 74136-7802
Country : US
Telephone Number : 918-502-9650
Fax Number : 918-502-9655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2011
Last Update Date : 07/24/2023

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Directions to “ DR. SAMUEL CLAYTON KORBE M.D.” Practice Location

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