Individual
DR. ANTHONY WAYNE WALDROUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
530 N MONTE VISTA ST STE A, ADA, OK 74820-4675
(580) 310-9510
(580) 436-4447
Mailing address
530 N MONTE VISTA ST STE A, ADA, OK 74820-4675
(580) 310-9510
(580) 436-4447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20220
OK
2083A0100X
Aerospace Medicine Physician
20220
OK
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
20220
OK
Other
Enumeration date
04/10/2006
Last updated
03/11/2025
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