Individual
MR. WILLIAM JOHNELL WHAYNE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4995 N ROSEDALE AVE, TULSA, OK 74126-6625
(918) 978-5100
Mailing address
4995 N ROSEDALE AVE, TULSA, OK 74126-6625
(918) 978-5100
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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