Individual
DAVID HENRI CHANSOLME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4221 S WESTERN AVE, #4010, OKLAHOMA CITY, OK 73109-3447
(405) 644-6464
(405) 644-6465
Mailing address
PO BOX 720486, NORMAN, OK 73070-4357
(405) 292-5500
(405) 292-5505
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
23723
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200033350A
—
OK
01
—
P00174725
RAILROAD MEDICARE
OK
Enumeration date
08/16/2005
Last updated
02/04/2015
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