Phyllis A Wallace is a Family Nurse Practitioner based in Konawa, OK and is specialized in Family. Phyllis A Wallace practices in Konawa, OK and has the professional credentials of APRN. The NPI Number for Phyllis A Wallace is 1366486417 and holds a License No. R0035497 (Oklahoma).
The current practice location address for Phyllis A Wallace is 527 W 3Rd St, Konawa, OK and can be reached out via phone at 580-925-3286 and via fax at 580-925-9149.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100155800A | 05 | OK | |
| 100155800B | 01 | OK | SOONERCARE PROVIDER |
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