Individual
DENNIS RAY WHITEHOUSE DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 W GUY AVE, PAULS VALLEY, OK 73075-3200
(405) 238-1170
(405) 238-9342
Mailing address
415 W GUY AVE, PAULS VALLEY, OK 73075-3200
(405) 238-1170
(405) 238-9342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3608
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090420B
—
OK
Enumeration date
08/30/2006
Last updated
03/30/2018
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