WALTER MARK BOOMER

TULSA, OK
NPI1578598074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: OK  17300)
Enumeration Date2006-07-12
Last Update Date2021-10-28
Business Address
WALTER MARK BOOMER MD
2832 E 101ST ST
TULSA, OK 74137-5601
Phone number: 918-771-4455
Mailing Address
WALTER MARK BOOMER MD
PO BOX 3478 DEPT A
TULSA, OK 74101-3478
Phone number: 918-494-9288