Individual
DALTON LEE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 907-1107
Mailing address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 907-1107
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
03/17/2024
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