SearchOklahoma363LF0000X

Marcus Wahl, APRN

NPI 1508408311 · on the registry since 2019

Practice

Address
1007 N Country Club Rd
Ada, OK 74820
Phone
(580) 421-8700
Fax
(580) 272-1094
Organisation at this address
Sovereign Family Clinic, Llc
The Chickasaw Nation Employee Clinic Pharmacy- Ada
Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Additional practice sites

  • 2222 W Iowa Ave, Chickasha, OK
  • 1000 Rolling Hills Ln, Ada, OK

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-16

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