Individual
WESLEY E PARKHURST JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
617 W TRUDGEON ST, HENRYETTA, OK 74437-4063
(918) 652-4400
(918) 652-9869
Mailing address
617 W TRUDGEON ST, HENRYETTA, OK 74437-4063
(918) 652-4400
(918) 652-9869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13405
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252720D
—
OK
01
—
4415072U800U
BLUE CROSS BLUE SHIELD
OK
Enumeration date
09/19/2006
Last updated
06/20/2008
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