Individual
PHILLIP ALTON NOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1105 MICHELIN RD, MICHELIN FAMILY HEALTH CENTER, ARDMORE, OK 73401-1085
(580) 224-8750
(580) 224-4454
Mailing address
3062 FOXDEN RD, ARDMORE, OK 73401-7751
(580) 657-2587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1919
OK
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
1919
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100123410A
—
OK
Enumeration date
01/05/2006
Last updated
08/07/2013
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