Individual
PENG YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5604 SW LEE BLVD STE 210, LAWTON, OK 73505-9663
(580) 531-6465
(580) 531-6426
Mailing address
5604 SW LEE BLVD STE 210, LAWTON, OK 73505-9663
(580) 531-6465
(580) 531-6426
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
285974
MA
208600000X
Surgery Physician
ME159414
FL
208600000X
Surgery Physician
Primary
S5141
TX
Other
Enumeration date
07/02/2013
Last updated
02/13/2025
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