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Individual

DR. CHRISTINE CHOUTEAU WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2029 GORDON COOPER DR, SHAWNEE, OK 74801-9005
(405) 878-4702
(405) 214-4227
Mailing address
2029 GORDON COOPER DR, SHAWNEE, OK 74801-9005
(405) 878-4702
(405) 214-4227

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23689
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1123689
OK
Enumeration date
09/26/2006
Last updated
04/04/2013
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