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1134160708
PETER CHAN
OKLAHOMA CITY, OK
NPI
1134160708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 2354)
Enumeration Date
2006-06-08
Last Update Date
2019-11-08
Business Address
PETER CHAN DO
1600 SW 119TH ST
OKLAHOMA CITY, OK 73170-4908
Phone number: 405-425-8100
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Mailing Address
PETER CHAN DO
5300 N INDEPENDENCE AVE SUITE 280
OKLAHOMA CITY, OK 73112-5556
Phone number: 405-425-8100
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