Chance Lee Matthiesen M.D.

NPI 1821289893 - Radiology - 2085R0001X

NPI Details
NPI 1821289893
Gender Male
Enumeration Date 08/06/2007
Last Updated 10/26/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
800 NE 10TH ST
OKCC L100
OKLAHOMA CITY OK, 73104-5418, US
Phone (405) 271-3016
Fax (405) 271-8297
Business Location
800 NE 10TH ST
OKCC L100
OKLAHOMA CITY OK, 73104-5418, US
Phone (405) 271-3016
Fax (405) 271-8297
Toxanomy
Taxonomy Code 2085R0001X
License State Oklahoma
License Number 25819
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According to our database, Dr. Chance Lee Matthiesen M.D. NPI is 1821289893, taxonomy code is 2085R0001X and license number is 25819, license state is located at Oklahoma. Chance Lee Matthiesen M.D. physically located at 800 Ne 10th St, Oklahoma City OK, 73104-5418. NPI Number Chance Lee Matthiesen M.D. has the Individual type.

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1821289893 NPI number is provided on an as is basis without warranty of any kind. 1821289893 is maintained by the National Plan & Provider Enumeration System. The contents of Chance Lee Matthiesen M.D. are for informational purposes only.