Individual
DR. JENNY SCOVILLE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1121 NEO LOOP, GROVE, OK 74344-6046
(918) 786-8448
(918) 786-9502
Mailing address
1121 NEO LOOP, GROVE, OK 74344-6046
(918) 786-8448
(918) 786-9502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32095
OK
Other
Enumeration date
04/16/2013
Last updated
02/25/2022
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