Individual
MAYBELLE S WHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1705 W 2ND ST, ELK CITY, OK 73644-4455
(580) 225-2511
(580) 821-5524
Mailing address
PO BOX 2467, ELK CITY, OK 73648-2467
(580) 303-4664
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25964
OK
207P00000X
Emergency Medicine Physician
Primary
P1837
TX
207Q00000X
Family Medicine Physician
MD055963L
PA
207Q00000X
Family Medicine Physician
P1837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
903395
HIGHMARK
PA
01
—
P01311906
RAILROAD MEDICARE
TX
Enumeration date
07/06/2006
Last updated
08/26/2014
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