Individual
DR. TREVOR C CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10101 S PENN AVE, SUITE A, OKLAHOMA CITY, OK 73159-6929
(405) 691-3319
Mailing address
10012 S DOUGLAS AVE, OKLAHOMA CITY, OK 73139-2947
(405) 308-3430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2690
OK
Other
Enumeration date
07/28/2011
Last updated
10/22/2012
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