Individual
PHILIP EDWARD WHITLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1313 LAWTON, MOORE, OK 73160-3636
(405) 691-4111
(405) 691-4168
Mailing address
1313 LAWTON, MOORE, OK 73160-3636
(405) 691-4111
(405) 691-4168
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK 1066
OK
Other
Enumeration date
04/17/2007
Last updated
01/12/2011
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