Individual
DALE RAY ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
Mailing address
1731 S QUINCY AVE APT 2, TULSA, OK 74120-7020
(918) 645-7697
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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