WALLACE B. MCLEOD III INC NPI 1861711731

NPI Information

WALLACE B. MCLEOD III, INC is a medical genetics phd medical genetics in Oklahoma City, OK. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. WALLACE B. MCLEOD III, INC NPI is 1861711731. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Wallace B. Mcleod Iii, M.d.

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 5/18/2010 and was last updated on 5/18/2010.

Taxonomy Codes

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Other Identifiers

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