WALLACE B MCLEOD III INC NPI 1194044313

NPI Information

WALLACE B MCLEOD III, INC is a family medicine in Oklahoma City, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WALLACE B MCLEOD III, INC NPI is 1194044313. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2216 N MARTIN LUTHER KING AVE
OKLAHOMA CITY, OK
ZIP 73111-445
Phone: (405) 424-0111

The provider's authorized official is Jessie Mae Shambra .
The authorized official title is Office Manager and has the following contact phone number (405) 424-0111.

The enumeration date for this NPI number is 5/27/2010 and was last updated on 10/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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