# JAMES S. WALL MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124067079
- **Authorized official:** DR. JAMES S. WALL MD (OWNER PRESIDENT)
- **Authorized official phone:** (405) 364-3883

## Contact information

- **Practice address:** 520 24TH AVE SW, NORMAN, OK 73069-5106
- **Practice address phone:** (405) 364-3883
- **Mailing address:** PO BOX 6348, NORMAN, OK 73070-6348
- **Mailing address phone:** (405) 947-8586
- **Mailing address fax:** (405) 948-6507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 8644 | OK | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 08/22/2020