Paul S Wallace
NPI #1548444318 in Bartlesville, Oklahoma
Provider Information
- NPI Number
- 1548444318
- Entity Type
- Individual
- Name
- Paul S Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Dec 28, 2007
- Last Updated
- Dec 28, 2007
Practice Location
- Address
- 513 SE QUAPAW
- City
- Bartlesville
- State
- Oklahoma
- ZIP Code
- 74003
- Phone
- (918) 337-8080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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