Individual
GERALD WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-6611
(405) 235-5671
Mailing address
842 MARILYN ST, OKLAHOMA CITY, OK 73105-7612
(405) 900-3646
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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