Organization
DENNIS WHITEHOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS RAY WHITEHOUSE D.O. (OWNER)
(405) 238-1170
Entity
Organization
Contact information
Practice address
415 W GUY AVE, PAULS VALLEY, OK 73075-3200
(405) 238-1170
(405) 238-9346
Mailing address
415 W GUY AVE, PAULS VALLEY, OK 73075-3200
(405) 238-1170
(405) 238-9346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090420B
—
OK
Enumeration date
01/06/2010
Last updated
06/30/2010
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