| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124067079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8644 (Oklahoma) | Primary |
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