John Wall

Counselor · Altus, OK

Individual Active NPI

NPI number 1538661665

Practice location

111 Sequoyah Ln
Altus, OK 73521-1756
Phone
(580) 482-2809
Fax
(580) 482-2820

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NPI record

NPI
1538661665
Entity type
Individual (Type 1)
Enumeration date
March 5, 2018
Last updated
March 5, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

PO Box 175
Altus, OK 73522-0175
Phone
(580) 482-2809
Fax
(580) 482-2820

About John Wall

John Wall is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 111 Sequoyah Ln, Altus, OK 73521-1756. The NPI number 1538661665 was assigned on March 5, 2018 and the record was last updated on March 5, 2018.

Frequently asked questions

What is the NPI number of John Wall?

The NPI number is 1538661665.

What is the phone number of John Wall?

The phone number listed for the practice location is (580) 482-2809.

Where is John Wall located?

111 Sequoyah Ln, Altus, OK 73521-1756.

What is the taxonomy code for John Wall?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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