Individual
RANDELL B CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-8102
Mailing address
605 NW 159TH ST, EDMOND, OK 73013-1031
(785) 408-2109
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-23723
KS
207P00000X
Emergency Medicine Physician
Primary
14857
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101340A
—
OK
Enumeration date
02/22/2006
Last updated
05/02/2013
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