Individual
DR. WALTER THOMAS CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
300 W GRAY ST, SUITE 106, NORMAN, OK 73069-7104
(405) 364-4611
Mailing address
PO BOX 112, NORMAN, OK 73070-0112
(405) 364-4611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1564
OK
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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