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Individual

DR. ANDREW SCOTT WHITLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1901 W UNIVERSITY BLVD, DURANT, OK 74701-3098
(580) 920-2020
(580) 924-5656
Mailing address
PO BOX 1426, DURANT, OK 74702-1426
(580) 920-2020
(580) 924-2626

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003816A
IN
152W00000X
Optometrist
1937DT
KY
152W00000X
Optometrist
Primary
2832
OK

Other

Enumeration date
08/02/2013
Last updated
07/27/2022
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