Individual
ELIZABETH R WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-6060
Mailing address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-6060
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23523
OK
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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