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Individual

RONALD R WALCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 E GRAND AVE, TONKAWA, OK 74653-3545
(580) 628-2557
(580) 628-2132
Mailing address
600 E GRAND AVE, TONKAWA, OK 74653-3545
(580) 628-2557
(580) 628-2132

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12238
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100255780C
OK
Enumeration date
02/22/2006
Last updated
06/16/2008
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