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Individual

ROBERT D SLAVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD, INC.

Contact information

Practice address
122 W BROADWAY ST, ANADARKO, OK 73005-2806
(405) 247-6412
(405) 247-7129
Mailing address
PO BOX 648, ANADARKO, OK 73005-0648
(405) 247-6412
(405) 247-7129

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
797
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100761900A
OK
Enumeration date
03/01/2006
Last updated
09/19/2008
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