Wallace Jackson Champlain, DO
NPI #1689648636 in Tahlequah, Oklahoma
Provider Information
- NPI Number
- 1689648636
- Entity Type
- Individual
- Name
- Wallace Jackson Champlain, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Obstetrics & Gynecology
- Credential
- DO
- Enumeration Date
- Feb 15, 2006
- Last Updated
- Jun 4, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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