Individual
CAROLINA WALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D. O.
Contact information
Practice address
305 S 5TH ST, ENID, OK 73701-5832
(580) 249-3044
Mailing address
2240 NW 17TH ST, OKLAHOMA CITY, OK 73107-4064
(337) 322-8431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0053R
OK
207P00000X
Emergency Medicine Physician
Primary
5833
OK
Other
Enumeration date
07/21/2014
Last updated
05/01/2018
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