Individual
MR. JAMES C TALLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5101 SE 81ST ST, OKLAHOMA CITY, OK 73135-6275
(405) 473-6269
Mailing address
5101 SE 81ST ST, OKLAHOMA CITY, OK 73135-6275
(405) 473-6269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27-5161815
—
OK
Enumeration date
05/22/2012
Last updated
05/22/2012
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