Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 38551 | OK |
NPI | 1336453406 |
---|---|
Provider Name | Mr. Edward Eun Cho |
First Address | Oklahoma City, OK 73126-8838 |
Second Address | Tulsa, OK 74104-5635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2010 |
Last Update Date | 01/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8HD252 | BCBS (01) | TX |