Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 17545 | OK |
NPI | 1083651699 |
---|---|
Provider Name | Dr. Edward Chua Co |
First Address | Edmond, OK 73012-8431 |
Second Address | Oklahoma City, OK 73112-4418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 28/12/2015 |