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Individual

ROBERT CHAD BURWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-9644
(405) 272-0361
Mailing address
1111 N LEE AVE, STE 236, OKLAHOMA CITY, OK 73103-2600
(405) 272-9644
(405) 272-0361

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4283
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200197990A
OK
Enumeration date
02/05/2007
Last updated
08/27/2014
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