Male or Other

Arthur G. Wallace DO

Emergency Medical Services (Emergency Medicine) Physician in Tulsa, OK(View on Map)

Full Name

Arthur G Wallace DO

NPI Number

1225026206

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/12/2005

Specialties

(Taxonomies)

Code

207PE0004X

Primary Taxonomy

Yes

Licenses

State

Oklahoma

License Number

1864

Contact
Information

Purpose

Mailing
Location

Address

1515 N HARVARD AVE
1717 S UTICA AVE STE A

City

Tulsa
Tulsa

State

OK
OK

Postal Code

74115-4957
74104-5346

Country

US
US

Telephone Number

(918) 832-6049
(918) 748-7557

Identifiers

Identifier

100228470B

Identifier State

OK

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/13/2010

Provider Address

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