Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 24268 | OK |
Y | 207PE0004X | Emergency Medical Services | 24268 | OK |
NPI | 1194783258 |
---|---|
Provider Name | Mr. Scott A Chappell |
First Address | Oklahoma City, OK 73165-7350 |
Second Address | Oklahoma City, OK 73112-2074 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 11/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200056060A | (05) | OK |
I04375 | (02) | OK |