Healthcare Provider Details

I. General information

NPI: 1811058407
Provider Name (Legal Business Name): W WES MCFARLAND D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 S HARVARD AVE #100
TULSA OK
74135-2634
US

IV. Provider business mailing address

4444 S HARVARD AVE #100
TULSA OK
74135-2634
US

V. Phone/Fax

Practice location:
  • Phone: 918-744-0228
  • Fax: 918-744-6613
Mailing address:
  • Phone: 918-744-0228
  • Fax: 918-744-6613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number1550
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: