Individual
DR. CHARLES NEAL WHITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1001 N GRAND AVE, ATTN: CHARLES WHITTLE, TAHLEQUAH, OK 74464-7017
(918) 444-4151
Mailing address
1001 N GRAND AVE, ATTN: CHARLES WHITTLE, TAHLEQUAH, OK 74464-7017
(918) 444-4151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2760
OK
Other
Enumeration date
07/24/2012
Last updated
09/16/2014
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