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Individual

MR. SCOTT XAVIER SANDOVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Mailing address
2609 FEATHERSTONE RD, OKLAHOMA CITY, OK 73120-2105
(818) 942-5576

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
03/26/2025
Last updated
03/04/2026
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