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Individual

MR. BARRY EUGENE CHAPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1015 E BROADWAY ST, SUITE 102, ALTUS, OK 73521-5505
(580) 480-1600
(580) 480-1601
Mailing address
1015 E BROADWAY ST STE 102, P.O. BOX 575, ALTUS, OK 73521-5506
(580) 480-1600
(580) 480-1601

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
668386
TX
363LF0000X
Family Nurse Practitioner
Primary
R0069302
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1769302
OK
05
200072830A
OK
Enumeration date
07/19/2006
Last updated
06/11/2008
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