Individual
JAMES FRANK WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 NW 63RD ST, STE 205, OKLAHOMA CITY, OK 73116-1504
(405) 917-9094
(405) 917-9096
Mailing address
6608 N WESTERN AVE, STE 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
—
100032000A
—
OK
05
—
100032000AD
—
OK
Enumeration date
08/23/2005
Last updated
02/13/2012
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