Individual
SAMANTHA PHOUA VANG-CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12455 E 100TH ST N STE 190, OWASSO, OK 74055-4675
(918) 274-5509
Mailing address
12455 E 100TH ST N, STE 190, OWASSO, OK 74055-4675
(918) 403-7054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5642
OK
Other
Enumeration date
04/03/2012
Last updated
07/19/2016
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