Search › Oklahoma › 363A00000X
Robert Vandiver, P.A
NPI 1417090770 · on the registry since 2007
Practice
- Address
- 139 E Main St
Wilburton, OK 74578 - Phone
- (918) 465-5727
- Fax
- (918) 465-3311
- Organisation at this address
- Hussains Family Practice Rhc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma