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Individual

EMILY PIGFORD WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(240) 691-8458
Mailing address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 458-2406
(918) 456-8886

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/01/2018
Last updated
05/01/2018
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