NPI 1013972884

Phillip Wayne Halcum, MD

Practitioner Military Health Care Provider Poteau, OK

Practice location

Address: 109 Kerr Ave, Poteau, OK 74953-5270
Phone: (918) 649-1100
Fax: (918) 649-1199
Mailing address: 8625 Cove Cir, Hackett, AR 72937-4161

Registered specialties (2)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence C-7091 (AR)

Other Military Health Care Provider providers in Oklahoma →

Military Health Care Provider

Other Service Providers Taxonomy 171000000X Licence 91-62 (NM)

Registry record

NPI: 1013972884
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2006
Record last updated: 29 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.