Whalio Doctors

NPI 1003910522

Melvin J Vanboven, DO

Practitioner Anatomic Pathology & Clinical Pathology Physician Tulsa, OK

Practice location

Address
8803 S. 101st E. Ave Suite 360, Tulsa, OK 74133
Phone
(918) 582-0001
Fax
(918) 582-0003
Mailing address
PO Box 26303, Oklahoma City, OK 73126-0303

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 1677 (OK)

Registry record

NPI
1003910522
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Sep 2006
Record last updated
14 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.