Organization
DAVID H CHANSOLME MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H CHANSOLME MD (PRESIDENT)
(405) 644-6464
Entity
Organization
Contact information
Practice address
4221 S WESTERN AVE, SUITE 4010, OKLAHOMA CITY, OK 73109-3447
(405) 644-6464
(405) 644-6465
Mailing address
PO BOX 720486, NORMAN, OK 73070-4357
(405) 644-6464
(405) 644-6465
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
23723
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200033350A
—
OK
Enumeration date
05/23/2007
Last updated
03/02/2011
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