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Organization
JAMES F. WALL MD LLC
Active
Organization
JAMES F. WALL MD LLC
Active
Other names
James F. Wall MD
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FRANK WALL MD (MD)
(405) 917-9094
Entity
Organization
Contact information
Practice address
4301 NW 63RD ST, SUITE 205, OKLAHOMA CITY, OK 73116-1504
(405) 917-9094
(405) 917-9096
Mailing address
6608 N. WESTERN AVE, #473, OKLAHOMA CITY, OK 73116-7326
(405) 917-9094
(405) 917-9096
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
14803
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032000D
—
OK
05
—
100032000E
—
OK
Enumeration date
05/23/2007
Last updated
02/13/2012
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