Individual
BILL BARNETT VANATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHR
Contact information
Practice address
130 W STEVE OWENS BLVD, MIAMI, OK 74354-7629
(918) 542-2845
Mailing address
PO BOX 1271, MIAMI, OK 74355-1271
(918) 542-2845
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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