Individual
SHERISE PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-7135
(918) 335-1111
(918) 335-1119
Mailing address
PO BOX 565, COPAN, OK 74022-0565
(918) 532-5483
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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