SCOTT WILLIAM WALLIS

TULSA, OK
NPI1821672858
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-06
Last Update Date2022-04-04
Business Address
SCOTT WILLIAM WALLIS DO
4502 E 41ST ST
TULSA, OK 74135-2536
Phone number: 918-582-1972
Mailing Address
SCOTT WILLIAM WALLIS DO
4502 E 41ST ST
TULSA, OK 74135-2536
Phone number:
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