Robert E. Vandiver, P.A.
Physician Assistant · Wilburton, OK
UnclaimedP.A.NPI 1417090770
- Primary taxonomy
- 363A00000X
- Enumerated
- 2007-02-15
- Practice location
- Wilburton, OK
- Last NPPES update
- 2007-11-12
State licenses
- OK · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.