# WESTERN OKLAHOMA UROLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134536774
- **Authorized official:** COLE W WOOTTON MD (PHYSICIAN OWNER)
- **Authorized official phone:** (580) 243-2200

## Contact information

- **Practice address:** 1800 W 1ST ST, SUITE 106, ELK CITY, OK 73644-3133
- **Practice address phone:** (580) 243-2200
- **Practice address fax:** (580) 243-0812
- **Mailing address:** 1800 W 1ST ST, SUITE 106, ELK CITY, OK 73644-3133
- **Mailing address phone:** (580) 243-2200
- **Mailing address fax:** (580) 243-0812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 30463 | OK | Yes |

## Other

- **Enumeration date:** 07/15/2014
- **Last updated:** 10/02/2014