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Individual

DR. PETER QUOC LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2201 N MERIDIAN AVE, OKLAHOMA CITY, OK 73107-2629
(405) 943-9820
(405) 947-6908
Mailing address
2201 N MERIDIAN AVE, OKLAHOMA CITY, OK 73107-2629
(405) 943-9820
(405) 947-6908

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD209
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200241830A
OK
01
731624991
CIGNA GOVERNMENT
OK
Enumeration date
11/10/2005
Last updated
04/23/2010
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