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Contact Information

ROBERT A OLDHAM, PAC
603 NE 2ND ST
ANTLERS, OK74523
 Phone: 580-298-3351
 Fax: 580-298-6137
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ROBERT A OLDHAM · (Male)

NPI # 1578554101
Status Active
Credentials PAC
Entity Individual
Enumeration date 11/02/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 878
Hospital affiliation(s)
  • PUSHMATAHA CTY-TN OF ANTLERS HOSPITAL AUTH - (Acute Care)
    510 EAST MAIN STREET
    ANTLERS, OK 74523
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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