Robert L Waddell Md Pc

LBN: Robert L Waddell Md Pc
Robert L Waddell Md Pc is an health care organization with primary practice located at 435 N. Monte Vista , Ada OK 74820-4676. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Robert L Waddell Md Pc can be contacted via phone (580) 310-0102, or through Waddell, Robert Luther via phone (580) 310-0102.

Contact Information

Primary practice address
435 N. Monte Vista Ada OK 74820-4676
Fax: (580) 310-0104
Website:
Authorized official contact:
Name: Waddell, Robert Luther Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20345 Oklahoma

Profile Details

NPI number 1801030440
LBN Legal business name Robert L Waddell Md Pc
DBA Doing business as
Authorized official Waddell, Robert Luther Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2009
Last updated May 26th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801030440 NPPES
Oklahoma MEDICAID 100155110A

Popular Providers