Search › Oklahoma › 207V00000X
Wallace Champlain, DO
NPI 1689648636 · on the registry since 2006
Practice
- Address
- 1500 E Downing St Ste 208
Tahlequah, OK 74464 - Phone
- (918) 456-2496
- Fax
- (918) 456-7108
- Organisation at this address
- Eaglemed Llc
Tmc Pharmacy Inc
Raji M Gill Do Pc
James R Brixey Do Pc
Med-Trans CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Additional practice sites
- 127 E Main, Hulbert, OK
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-04
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