Individual
BILLIE G WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 S 2 MILE RD, FORT GIBSON, OK 74434-7803
(918) 577-8215
Mailing address
117 S 2 MILE RD, FORT GIBSON, OK 74434-7803
(918) 577-8215
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-63427-102
KS
163W00000X
Registered Nurse
R0087624
OK
Other
Enumeration date
06/26/2025
Last updated
06/29/2025
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