Individual
DR. PHILLIP WAYNE HALCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 KERR AVE, POTEAU, OK 74953-5270
(918) 649-1100
(918) 649-1199
Mailing address
8625 COVE CIR, HACKETT, AR 72937-4161
(501) 690-0298
(918) 649-1199
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
91-62
NM
171000000X
Military Health Care Provider
Primary
C-7091
AR
Other
Enumeration date
04/17/2006
Last updated
07/29/2011
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