Robert L Waddell MD PC

NPI #1801030440 in Ada, Oklahoma

Provider Information

NPI Number: 1801030440
Entity Type: Organization
Organization Name: Robert L Waddell MD PC
Primary Specialty: Surgery
Enumeration Date: Apr 27, 2009
Last Updated: May 26, 2011

Practice Location

Address: 435 N. MONTE VISTA
City: Ada
State: Oklahoma
ZIP Code: 74820-4676
Phone: (580) 310-0102

Authorized Official

Name: MR. ROBERT LUTHER WADDELL, MD
Title: OWNER
Phone: (580) 310-0102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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