Provider Demographics
NPI:1336453406
Name:CHO, EDWARD EUN (SCM)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:EUN
Last Name:CHO
Suffix:
Gender:M
Credentials:SCM
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Mailing Address - Street 1:PO BOX 268838
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-8838
Mailing Address - Country:US
Mailing Address - Phone:918-619-4400
Mailing Address - Fax:918-634-7560
Practice Address - Street 1:1919 S WHEELING AVE STE 600
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5635
Practice Address - Country:US
Practice Address - Phone:918-619-4400
Practice Address - Fax:918-634-7560
Is Sole Proprietor?:No
Enumeration Date:2010-08-01
Last Update Date:2021-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK385512086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8HD252OtherBCBS