Individual
DR. WALTER SCOTT WAUGH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3410 NW 135TH ST, OKLAHOMA CITY, OK 73120-4009
(405) 751-6111
(405) 751-0479
Mailing address
3410 NW 135TH ST, OKLAHOMA CITY, OK 73120-4009
(405) 751-6111
(405) 751-0479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101239014
VA
207Q00000X
Family Medicine Physician
Primary
25617
OK
207QS0010X
Sports Medicine (Family Medicine) Physician
153246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DU9341
MEDICARE RAILROAD
—
Enumeration date
12/06/2006
Last updated
04/21/2026
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