Organization
CHANDLER CLINIC A DIVISION OF PLAZA MEDICAL GROUP, PC
Active
Parent organization
PLAZA MEDICAL GROUP, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLAZA MEDICAL GROUP, PC
Authorized official
PAUL SYZMANSKI (CEO)
(405) 948-4040
Entity
Organization
Contact information
Practice address
114 N HIGHWAY 18, CHANDLER, OK 74834-1200
(405) 258-2500
Mailing address
3433 NW 56TH ST STE 400, OKLAHOMA CITY, OK 73112-4430
(405) 948-4040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2298
OK
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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