# JAMES F. WALL MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** James F. Wall MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871703785
- **Authorized official:** JAMES FRANK WALL MD (MD)
- **Authorized official phone:** (405) 917-9094

## Contact information

- **Practice address:** 4301 NW 63RD ST, SUITE 205, OKLAHOMA CITY, OK 73116-1504
- **Practice address phone:** (405) 917-9094
- **Practice address fax:** (405) 917-9096
- **Mailing address:** 6608 N. WESTERN AVE, \#473, OKLAHOMA CITY, OK 73116-7326
- **Mailing address phone:** (405) 917-9094
- **Mailing address fax:** (405) 917-9096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 14803 | OK | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 02/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100032000D | — | OK |
| 05 | — | 100032000E | — | OK |