Individual
SIDNEY DAWN WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2621 N BROADWAY AVE, SHAWNEE, OK 74804-2913
(405) 878-1340
Mailing address
2621 N BROADWAY AVE, SHAWNEE, OK 74804-2913
(405) 878-1340
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4718
OK
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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