Robert Eugene Vandiver in Wilburton - Physician Assistant
Robert Eugene Vandiver - NPI 1417090770
Robert Eugene Vandiver is a Physician Assistant in Wilburton, Oklahoma. Robert Eugene Vandiver practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert Eugene Vandiver is 1417090770. The last update date is 2007-11-12.
Robert Eugene Vandiver's current location address is 139 E Main St, Wilburton, Oklahoma. You can contact this provider via phone number 9184655727 and fax number 9184653311. The mailing address for Robert Eugene Vandiver is 139 E Main St, Wilburton, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Eugene Vandiver |
|---|---|
| Address | 139 E Main St, Wilburton, Oklahoma |
| Phone Number | 9184655727 |
| Fax Number | 9184653311 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1417090770 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-11-12 |
Provider Mailing Address Detail
| Address | 139 E Main St |
|---|---|
| City | Wilburton |
| State | Oklahoma (OK) |
| Post Code | 745784229 |
| Phone Number | 9184655727 |
| Fax Number | 9184653311 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 527 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1417090770 | OK | NPI |
Post Comment/ Review Below
What is the unique identification code assigned to Robert Eugene Vandiver by the Centers for Medicare & Medicaid Services?
The Robert Eugene Vandiver has been issued the NPI (National Provider Identifier) 1417090770. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Robert Eugene Vandiver?
The Robert Eugene Vandiver is situated at 139 E Main St, in the city of Wilburton, state of OK, with the zip code 745784229.
What is Robert Eugene Vandiver's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert Eugene Vandiver's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Robert Eugene Vandiver receive the assignment of its 1417090770 from the Centers for Medicare & Medicaid Services?
The Robert Eugene Vandiver was issued its 1417090770 by the Centers for Medicare & Medicaid Services on 2007-02-15.
As of what date was the information regarding Robert Eugene Vandiver, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Eugene Vandiver, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-12.
NPI Number: 1679570980
Address: 333 S Beaudry Ave, Los Angeles, CA
NPI Number: 1689648701
Address: 100 Bavington Rd, Burgettstown, PA