Individual
MATTHEW VANLANDINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 S GEORGE NIGH EXPY, MCALESTER, OK 74501-7400
(918) 429-7950
Mailing address
PO BOX 463, ALDERSON, OK 74522-0463
(918) 617-8945
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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