Individual
ALVIN LAVELL CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
222 E SHERIDAN AVE STE 2, OKLAHOMA CITY, OK 73104-4209
(405) 414-4271
Mailing address
222 E SHERIDAN AVE STE 2, OKLAHOMA CITY, OK 73104-4209
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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