John George Wallace in Oklahoma City - Emergency Medical Services
John George Wallace - NPI 1164467320
John George Wallace is a Emergency Medical Services in Oklahoma City, Oklahoma. John George Wallace practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for John George Wallace is 1164467320. The last update date is 2012-09-19.
John George Wallace's current location address is 4401 W Memorial Rd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057514664 and fax number 4057513183. The mailing address for John George Wallace is 4401 W Memorial Rd, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John George Wallace |
|---|---|
| Address | 4401 W Memorial Rd, Oklahoma City, Oklahoma |
| Phone Number | 4057514664 |
| Fax Number | 4057513183 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164467320 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2012-09-19 |
Provider Mailing Address Detail
| Address | 4401 W Memorial Rd |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731341785 |
| Phone Number | 4057514664 |
| Fax Number | 4057513183 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | G45690 |
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Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G456900 | CA | -- |
Post Comment/ Review Below
What is the John George Wallace's unique identification number?
The John George Wallace has been assigned the NPI (National Provider Identifier) Number 1164467320 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the John George Wallace's physical address?
The John George Wallace is physically located at 4401 W Memorial Rd, in the city of Oklahoma City, OK, with the postal code 731341785.
Could you please provide the complete street address where John George Wallace is physically located?
The John George Wallace is physically situated at the following address: 4401 W Memorial Rd, Oklahoma City, OK, 731341785.
As of what date were the John George Wallace's details last updated?
The information pertaining to the John George Wallace, including its address, specialty, and other details, was most recently updated on 2012-09-19.
As of what date were the details related to John George Wallace most recently updated or revised?
The information pertaining to John George Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2012-09-19.