Individual
CHANTELLE DILLS AZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(918) 236-4038
(918) 561-8428
Mailing address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 236-4038
(918) 561-8428
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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