Whalio Doctors

NPI 1861823601

Roger Magtangob Bonaobra, PHYSICALTHERAPIST

Practitioner Physical Medicine & Rehabilitation Physician Claremore, OK

Practice location

Address
3001 W Blue Starr Dr, Claremore, OK 74017-2544
Phone
(918) 342-1651
Mailing address
1308 S Kalanchoe Ave, Broken Arrow, OK 74012-0988

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PT2192 (OK)

Registry record

NPI
1861823601
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Dec 2013
Record last updated
4 Dec 2013

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.