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Individual

DR. WILLIS FRANKLIN PHELPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6903 E 113TH ST S, BIXBY, OK 74008-2075
(918) 298-1010
Mailing address
6903 E 113TH ST S, BIXBY, OK 74008-2075
(918) 298-1010

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8112
OK

Other

Enumeration date
03/30/2007
Last updated
07/08/2007
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