Individual
DR. CHADWICK BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5622 N PORTLAND AVE, STE 200, OKLAHOMA CITY, OK 73112-2096
(405) 528-8193
Mailing address
5622 N PORTLAND AVE, STE 200, OKLAHOMA CITY, OK 73112-2096
(405) 528-8193
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2803
OK
Other
Enumeration date
08/01/2014
Last updated
02/21/2017
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