Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILLIP WAYNE HALCUM, M.D.
Active Sole ProprietorDR. PHILLIP WAYNE HALCUM, M.D. is a Military Health Care Provider healthcare provider located in POTEAU, Oklahoma. NPI 1013972884 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · POTEAU, OK
Registration Details
- NPI Number
- 1013972884
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2006 (20.361457808486 yrs)
- Last Updated
- Jul 29, 2011
- Licenses
-
C-7091 (AR)91-62 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
109 KERR AVEPOTEAU, OK, 749535270Browse OK providers · Browse ZIP 74953
- Phone
- 9186491100
- Fax
- 9186491199
- Primary Specialty
-
Military Health Care Provider
171000000X
- Additional Specialty
- Military Health Care Provider
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.