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Individual
ARTHUR G WALLACE JR.
Active
Individual
ARTHUR G WALLACE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
1864
OK
Other
Enumeration date
10/12/2005
Last updated
04/13/2010
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