Walter Sam Allen

NPI #1033753983 in Tulsa, Oklahoma

Provider Information

NPI Number: 1033753983
Entity Type: Individual
Name: Walter Sam Allen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Nov 4, 2019
Last Updated: Nov 4, 2019

Practice Location

Address: 3245 S VICTOR AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74105-2229
Phone: (918) 406-4247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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