Individual
DR. ROBERT THOMAS VALLANDINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1205 W BROADWAY AVE, SULPHUR, OK 73086-4415
(580) 622-5959
(580) 622-6108
Mailing address
1205 W BROADWAY AVE, SULPHUR, OK 73086-4415
(580) 622-5959
(580) 622-6108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3692
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200040180 A
—
OK
Enumeration date
08/30/2006
Last updated
07/08/2007
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