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Individual

JAKE CHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 SOUTH ELLIS STREET, BOISE CITY, OK 73933
(580) 544-2501
Mailing address
100 S ELLIS ST, BOISE CITY, OK 73933
(580) 544-2501

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47075
OK
207RN0300X
Nephrology Physician
47075
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/07/2017
Last updated
03/26/2026
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