Provider Demographics
NPI:1093768590
Name:BRISTER, ZEB LINSTON (MD)
Entity Type:Individual
Prefix:DR
First Name:ZEB
Middle Name:LINSTON
Last Name:BRISTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3906 S PEORIA AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-3131
Mailing Address - Country:US
Mailing Address - Phone:918-585-1523
Mailing Address - Fax:918-584-5520
Practice Address - Street 1:3906 S PEORIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-3131
Practice Address - Country:US
Practice Address - Phone:918-585-1523
Practice Address - Fax:918-584-5520
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2011-07-26
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Provider Licenses
StateLicense IDTaxonomies
OK10268207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK731019479-001OtherBLUE CROSS OF OKLAHOMA
OK182120782OtherRAIL ROAD MEDICARE
OK100094630AMedicaid
OKD34440Medicare UPIN