Individual
DR. WALTER ALLEN OAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEMORIAL HOSPITAL DR, STE 1E, MOBILE, AL 36608-1183
(251) 316-3868
(251) 316-3583
Mailing address
PO BOX 7687, MOBILE, AL 36670-0687
(251) 316-3868
(251) 316-3583
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4221
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933706
—
AL
05
—
009940617
—
AL
05
—
009940632
—
AL
05
—
009942022
—
AL
01
—
051529560
BLUE CROSS BLUE SHIELD
AL
01
—
051538361
BCBS - PET
AL
01
—
051538738
BCBS - PAM
AL
01
—
051538834
BCBS - RTO
AL
01
—
P00231791
RAILROAD MEDICARE
AL
01
—
P00371847
RAILROAD MEDICARE - PAM
AL
01
—
P00387111
RAILROAD MEDICARE - RTO
AL
01
—
P00450207
RR MEDICARE - PET CT
AL
Enumeration date
10/11/2005
Last updated
05/20/2008
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