NPI 1861711731

Wallace B. McLeod III, INC

Organisation Ph.D. Medical Genetics Oklahoma City, OK

Practice location

Address: 2216 N Martin Luther King Ave, Oklahoma City, OK 73111-2445
Phone: (405) 424-0111

Authorised official

Name: Jessie Mae Shambra
Title: Office Manager
Phone: (405) 424-0111

Registered specialties

Ph.D. Medical Genetics Primary

Other Service Providers Taxonomy 170100000X Licence 15393 (OK)

Other Medical Genetics, Ph.D. Medical Genetics providers in Oklahoma →

Registry record

NPI: 1861711731
Entity type: Organization
NPI issued: 18 May 2010
Record last updated: 18 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.