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Individual

DAVID NOEL CHORLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
11911 S MEMORIAL DR, BIXBY, OK 74008-2030
(918) 943-3790
(918) 943-3793
Mailing address
PO BOX 334, BIXBY, OK 74008-0334
(918) 970-2886
(918) 970-4008

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3346
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100022350C
OK
01
313630YLQG
MEDICARE
OK
Enumeration date
04/17/2006
Last updated
05/09/2024
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