Individual
RACHEL LYNNE WHITEHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
705 W OAKLAND ST, BROKEN ARROW, OK 74012-1656
(918) 251-2666
(918) 258-7790
Mailing address
705 W OAKLAND ST, BROKEN ARROW, OK 74012-1656
(918) 251-2666
(918) 258-7790
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
2983
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100089970A
—
OK
Enumeration date
08/29/2006
Last updated
05/01/2012
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