Individual
ALBERTO BENJAMIN CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10109 E 79TH ST, TULSA, OK 74133
(918) 233-9550
Mailing address
10109 E 79TH ST, TULSA, OK 74133-4682
(918) 233-9550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6633
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200999750A
—
OK
05
—
200999750B
—
OK
Enumeration date
04/04/2018
Last updated
02/23/2026
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