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Dr. Phillip Wayne Halcum, MD
Military Health Care Provider in Poteau, Oklahoma
NPI 1013972884

Phillip Wayne Halcum is a Military Health Care Provider based in Hackett, OK. Phillip Wayne Halcum practices in Poteau, OK and has the professional credentials of MD. The NPI Number for Phillip Wayne Halcum is 1013972884 and holds a License No. C-7091 (Oklahoma).

The current practice location address for Phillip Wayne Halcum is 109 Kerr Ave, Poteau, OK and can be reached out via phone at 918-649-1100 and via fax at 918-649-1199.

Location: 109 Kerr Ave, Poteau, OK, 72937-4161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013972884
Provider Name
Phillip Wayne Halcum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
109 Kerr Ave, Poteau, OK, 72937-4161
Phone Number
918-649-1100
Fax Number
918-649-1199
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
109 Kerr Ave
City
Poteau
State
Oklahoma
Zip
74953-5270
Phone Number
918-649-1100
Fax Number
918-649-1199
person
Provider Business Mailing Address Details
Address
109 Kerr Ave
City
Poteau
State
Oklahoma
Zip
74953-5270
Phone Number
918-649-1100
Fax Number
918-649-1199
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
C-7091 (Arkansas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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