Individual
MR. CHRIS D. LAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
309 SE FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74003
(918) 214-8888
(918) 214-8887
Mailing address
309 SE FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74003
(918) 214-8888
(918) 214-8887
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1214
OK
363AM0700X
Medical Physician Assistant
2004030997
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20003030A
—
OK
05
—
200033030A
—
OK
01
—
P00193731
MC RAILROAD
OK
Enumeration date
11/30/2006
Last updated
09/11/2014
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