Individual
WHITLEY VIRGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
1804 COMMONS CIR, SUITE B, YUKON, OK 73099-9524
(405) 577-6700
Mailing address
1804 COMMONS CIR, SUITE B, YUKON, OK 73099-9524
(405) 577-6700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2577
OK
Other
Enumeration date
01/16/2016
Last updated
01/16/2016
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