Organization
DRS HISKETT ELLIOTT & CANTRELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZEDDIE CANTRELL JR. OD (MANAGER)
(918) 367-2020
Entity
Organization
Contact information
Practice address
121 E 7TH, BRISTOW, OK 74010-2501
(918) 367-2020
(918) 367-9542
Mailing address
PO BOX 719, BRISTOW, OK 74010-0719
(918) 367-2020
(918) 367-9542
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761340A
—
OK
Enumeration date
01/22/2008
Last updated
02/12/2009
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