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Individual

DR. CHARLES R VEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1221 ARLINGTON ST STE B, ADA, OK 74820-4067
(580) 436-5111
(580) 436-1159
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
10673
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100185640A
OK
Enumeration date
07/25/2006
Last updated
11/18/2021
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