Provider Demographics
NPI:1003866245
Name:TALBERT, BEVERLY JEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:JEAN
Last Name:TALBERT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1122 NE 13TH ST
Mailing Address - Street 2:ORI 274
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-1039
Mailing Address - Country:US
Mailing Address - Phone:405-271-4864
Mailing Address - Fax:405-271-1643
Practice Address - Street 1:825 NE 10TH ST
Practice Address - Street 2:OUPB5350
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5417
Practice Address - Country:US
Practice Address - Phone:405-271-4864
Practice Address - Fax:405-271-1643
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2013-12-12
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Provider Licenses
StateLicense IDTaxonomies
OK15844208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery