Individual
OMAR HERNAN ZALDIVAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.
Contact information
Practice address
6475 S YALE AVE, STE. 301, TULSA, OK 74136-7816
(918) 494-9300
(918) 494-9355
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-9341
(918) 494-9355
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
294
OK
Other
Enumeration date
07/09/2006
Last updated
06/05/2020
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