Individual
WALTER LEONARD WRIGHT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, LAT, ATC
Contact information
Practice address
15417 S CR 211, BLAIR, OK 73526
(580) 819-2505
Mailing address
15417 S COUNTY ROAD 211, BLAIR, OK 73526-9322
(580) 819-2505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
968
OK
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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