Individual
DR. ANTONIO CHUA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 436-3980
(580) 421-6224
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12535
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100013570A
—
OK
Enumeration date
03/16/2006
Last updated
09/22/2011
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