Individual
DR. BRIAN ALAN CHENOWETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 NE 10TH ST # 1C, OKLAHOMA CITY, OK 73104-5417
(405) 271-2663
Mailing address
800 STANTON L YOUNG BLVD # 3400, OKLAHOMA CITY, OK 73104-5018
(405) 271-4426
(405) 271-3461
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
29364
OK
207X00000X
Orthopaedic Surgery Physician
MT212690
PA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
29364
OK
207XS0106X
Orthopaedic Hand Surgery Physician
MT212690
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200313730A
—
OK
05
—
200445850A
—
OK
Enumeration date
06/12/2012
Last updated
07/02/2019
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