Healthcare Provider Details

I. General information

NPI: 1275807562
Provider Name (Legal Business Name): WARREN STEVEN SILBERMAN D.O., MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2012
Last Update Date: 03/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6802 S OLYMPIA AVE SUITE 300
TULSA OK
74132-1823
US

IV. Provider business mailing address

4116 COLETTA DR
OKLAHOMA CITY OK
73120-8342
US

V. Phone/Fax

Practice location:
  • Phone: 405-418-8415
  • Fax: 918-742-4107
Mailing address:
  • Phone: 405-830-0743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number4256
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: