Individual
MR. JOSEPH RANDALL WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
3400 W TECUMSEH RD, STE 101, NORMAN, OK 73072-1810
(405) 360-6764
(405) 360-6769
Mailing address
3400 W TECUMSEH RD, STE 101, NORMAN, OK 73072-1810
(405) 360-6764
(405) 360-6769
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
163
OK
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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