Individual
SLADE DOLLARHIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E TERRI DR, VALLIANT, OK 74764-6801
(580) 933-9300
Mailing address
8794 GOODWATER RD, HAWORTH, OK 74740-5396
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0131124
OK
363LF0000X
Family Nurse Practitioner
Primary
220185
OK
Other
Enumeration date
01/30/2024
Last updated
09/09/2024
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