James S. Wall Md Inc | |
520 24th Ave Sw Norman OK 73069-5106 | |
(405) 364-3883 | |
Not Available |
Full Name | James S. Wall Md Inc |
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Speciality | Family Medicine |
Location | 520 24th Ave Sw, Norman, Oklahoma |
Authorized Official Name and Position | James S. Wall (OWNER PRESIDENT) |
Authorized Official Contact | 4053643883 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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James S. Wall Md Inc Po Box 6348 Norman OK 73070-6348 Ph: (405) 947-8586 | James S. Wall Md Inc 520 24th Ave Sw Norman OK 73069-5106 Ph: (405) 364-3883 |
NPI Number | 1124067079 |
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Provider Enumeration Date | 06/06/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1124067079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 8644 (Oklahoma) | Primary |
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