Individual
MR. JOHN C VALLANDIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 S 29TH ST, CHICKASHA, OK 73018-2501
(405) 896-8058
(855) 223-1999
Mailing address
PO BOX 929, CHICKASHA, OK 73023-0929
(405) 896-8058
(855) 223-1999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24142
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200002950A
—
OK
Enumeration date
06/22/2005
Last updated
07/21/2022
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