Individual
DR. WELLIE P. ADLAON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-9117
(580) 371-9101
Mailing address
508 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-9117
(580) 371-9101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21084
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224990B
—
OK
Enumeration date
10/04/2006
Last updated
07/24/2009
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