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1801030440
ROBERT L WADDELL MD PC
ADA, OK
NPI
1801030440
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Entity Type
Organization
Authorized Contact
ROBERT LUTHER WADDELL
Owner
580-310-0102
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: OK 20345)
Enumeration Date
2009-04-27
Last Update Date
2011-05-26
Business Address
ROBERT L WADDELL MD PC
435 N. MONTE VISTA
ADA, OK 74820-4676
Phone number: 580-310-0102
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Mailing Address
ROBERT L WADDELL MD PC
P.O. BOX 1660
ADA, OK 74821-1660
Phone number: 580-310-0102
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