SearchOklahoma101YA0400X

Shawn Wall

NPI 1649691908 · on the registry since 2014 · sole proprietor

Practice

Address
68470 S 315 Rd
Wagoner, OK 74467
Phone
(918) 729-9397
Fax
(918) 482-5136

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2014-01-03

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