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Individual

DAVID M KEUCHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
620 S MADISON ST, SUITE 203, ENID, OK 73701-7273
(580) 237-7280
(580) 548-1505
Mailing address
PO BOX 5038, ENID, OK 73702-5038
(580) 548-1367
(580) 548-1537

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2791
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101137230B
OK
Enumeration date
07/26/2005
Last updated
08/19/2013
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