Individual
ROBIN K VANCLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
11200 N PORTLAND AVE, 2ND, OKLAHOMA CITY, OK 73120-5045
(405) 936-1000
(405) 936-1001
Mailing address
11200 N PORTLAND AVE, 2ND, OKLAHOMA CITY, OK 73120-5045
(405) 936-1000
(405) 936-1001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1195
OK
Other
Enumeration date
04/10/2007
Last updated
11/14/2011
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