PHILLIP WAYNE HALCUM

POTEAU, OK
NPI1013972884
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
(Licence: AR  C-7091)
Additional Taxonomies171000000X Military Health Care Provider
(Licence: NM  91-62)
Enumeration Date2006-04-17
Last Update Date2011-07-29
Business Address
DR. PHILLIP WAYNE HALCUM M.D.
109 KERR AVE
POTEAU, OK 74953-5270
Phone number: 918-649-1100
Mailing Address
DR. PHILLIP WAYNE HALCUM M.D.
8625 COVE CIR
HACKETT, AR 72937-4161
Phone number: 501-690-0298