Search › Oklahoma › 101YP2500X
Glen Wallace, ED.D
NPI 1548493091 · on the registry since 2009
Practice
- Address
- 7932 Nicholson
Okalhoma City, OK 73162 - Phone
- (405) 728-1173
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 106H00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-01
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