Individual
MR. DALTON BRYANT RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
J.D.
Contact information
Practice address
202 S WASHITA AVE, WYNNEWOOD, OK 73098-7820
(405) 665-4385
Mailing address
309 S 5TH ST, DAVIS, OK 73030-2916
(580) 369-0723
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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