Brent D Chandler DO

NPI 1093793358 - Family Medicine - 207Q00000X

NPI Details
NPI 1093793358
Gender Male
Enumeration Date 01/06/2006
Last Updated 04/02/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
11601 S WESTERN AVE
OKLAHOMA CITY OK, 73170-5823, US
Phone (405) 691-5208
Fax (405) 378-0556
Business Location
11601 S WESTERN AVE
OKLAHOMA CITY OK, 73170-5823, US
Phone (405) 691-5208
Fax (405) 378-0556
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 3841
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According to our database, Brent D Chandler DO NPI is 1093793358, taxonomy code is 207Q00000X and license number is 3841, license state is located at Oklahoma. Brent D Chandler DO physically located at 11601 S Western Ave, Oklahoma City OK, 73170-5823. NPI Number Brent D Chandler DO has the Individual type.

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1093793358 NPI number is provided on an as is basis without warranty of any kind. 1093793358 is maintained by the National Plan & Provider Enumeration System. The contents of Brent D Chandler DO are for informational purposes only.