Search › Oklahoma › 183500000X
Paul Wallace
NPI 1518569110 · on the registry since 2020 · sole proprietor
Practice
- Address
- 64374 N Macarthur Blvd
Warr Acres, OK 73132 - Phone
- (405) 495-1040
- Fax
- (405) 495-1073
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-10
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