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Marcus Shane Wahl, APRN
Family Nurse Practitioner in Pauls Valley, Oklahoma
NPI 1508408311

Marcus Shane Wahl is a Family Nurse Practitioner based in Chickasha, OK and is specialized in Family. Marcus Shane Wahl practices in Pauls Valley, OK and has the professional credentials of APRN. The NPI Number for Marcus Shane Wahl is 1508408311 and holds a License No. 58478 (Oklahoma).

The current practice location address for Marcus Shane Wahl is 200 Melville Dr, Pauls Valley, OK and can be reached out via phone at 405-224-8111 and via fax at 405-825-4530.

Location: 200 Melville Dr, Pauls Valley, OK, 73018-2738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508408311
Provider Name
Marcus Shane Wahl
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
200 Melville Dr, Pauls Valley, OK, 73018-2738
Phone Number
405-224-8111
Fax Number
405-825-4530
Provider Enumeration Date
10/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Melville Dr
City
Pauls Valley
State
Oklahoma
Zip
73075-6610
Phone Number
405-224-8111
Fax Number
405-825-4530
person
Provider Business Mailing Address Details
Address
200 Melville Dr
City
Pauls Valley
State
Oklahoma
Zip
73075-6610
Phone Number
405-224-8111
Fax Number
405-825-4530
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
58478 (Oklahoma)
Definition
Definition to come...
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