Individual
MR. ANGEL VILCHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1841 BELLE ISLE BLVD STE L, OKLAHOMA CITY, OK 73118-4226
(405) 445-7504
Mailing address
PO BOX 175, BROMIDE, OK 74530-0175
(580) 380-7627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2799
OK
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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