Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 1550 | OK |
NPI | 1811058407 |
---|---|
Provider Name | W Wes Mcfarland |
First Address | Tulsa, OK 74135-2634 |
Second Address | Tulsa, OK 74135-2634 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E09695 | (02) | OK |