Search › Oklahoma › 225100000X
Jesse Wall
NPI 1215409917 · on the registry since 2018
Practice
- Address
- 13000 N May Ave
Oklahoma City, OK 73120 - Phone
- (888) 431-7814
- Organisation at this address
- Town Village
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma