Individual
DR. VICTOR EDUARDO PASCUAL CHAGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 N 4TH AVE, SUITE 100, PURCELL, OK 73080-1806
(405) 527-1075
(405) 527-1077
Mailing address
9777 N COUNCIL RD, APT 725, OKLAHOMA CITY, OK 73162-5500
(405) 527-1075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101245934
VA
207Q00000X
Family Medicine Physician
17161
PR
207Q00000X
Family Medicine Physician
Primary
27435
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200253300A
—
OK
Enumeration date
05/22/2008
Last updated
01/05/2011
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