person
Mr. Philo Wayne Waters IV
Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma
NPI 1326764846

Philo Wayne Waters IV is a Student in an Organized Health Care Education/Training Program based in Tulsa, OK. Philo Wayne Waters IV practices in Tulsa, OK. The NPI Number for Philo Wayne Waters IV is 1326764846 and holds a License No. (Oklahoma).

The current practice location address for Philo Wayne Waters IV is 1111 W 17Th St, Tulsa, OK and can be reached out via phone at 817-602-1381.

Location: 1111 W 17Th St, Tulsa, OK, 74107-1886
person
Provider Profile Details
NPI Number
1326764846
Provider Name
Philo Wayne Waters IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
1111 W 17Th St, Tulsa, OK, 74107-1886
Phone Number
817-602-1381
Fax Number
Provider Enumeration Date
10/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1111 W 17Th St
City
State
Zip
74107-1886
Phone Number
817-602-1381
Fax Number
person
Provider Business Mailing Address Details
Address
1111 W 17Th St
City
State
Zip
74107-1886
Phone Number
817-602-1381
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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