Individual provider · Type 1 NPI

Phillip Wayne Halcum, MD

Military Health Care Provider · Poteau, OK

NPI number 1013972884 Active

Practice location

109 Kerr Ave
Poteau, OK 74953-5270

Call (918) 649-1100 Map

Fax (918) 649-1199

Mailing address

8625 Cove Cir
Hackett, AR 72937-4161

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XC-7091 (AR)
Military Health Care Provider 171000000X91-62 (NM)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

26 other providers at this address

About NPI 1013972884

Phillip Wayne Halcum, MD's National Provider Identifier is 1013972884, issued on Apr 17, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Poteau, OK. The record was last updated on Jul 29, 2011.