Search › Oklahoma › 111N00000X
William Wallace, DC
NPI 1518500834 · on the registry since 2019
Practice
- Address
- 5715 N Western Ave Ste B
Oklahoma City, OK 73118 - Phone
- (405) 858-2225
- Organisation at this address
- Cody Elledge D.C. Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-28
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