Mr. Philo Wayne Waters IV
Mr. Philo Wayne Waters IV is a Student in an Organized Health Care Education/Training Program in Oklahoma City, Oklahoma. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
920 Stanton L Young Blvd # WP1140Oklahoma City, OK 73104-5036
Phone: (405) 271-4351
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1326764846 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 17, 2022 |
| Last updated in NPPES | May 15, 2024 |
| Certification date | May 15, 2024 |
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