Individual
CODY RICE CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2002 12TH AVE NW STE B, ARDMORE, OK 73401-1206
(580) 223-4795
Mailing address
2002 12TH AVE NW STE B, ARDMORE, OK 73401-1206
(806) 223-1971
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
3113
OK
363AS0400X
Surgical Physician Assistant
Primary
3113
OK
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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