Individual
PATRICK PUNCHUK LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4933
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2288
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100047870A
—
OK
Enumeration date
08/02/2006
Last updated
11/16/2022
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