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Dr. Tony Glen Wallen, DO
Family Medicine Physician in Ada, Oklahoma
NPI 1932720349

Tony Glen Wallen is a Family Medicine Physician based in Ada, OK. Tony Glen Wallen practices in Ada, OK and has the professional credentials of DO. The NPI Number for Tony Glen Wallen is 1932720349 and holds a License No. (Oklahoma).

The current practice location address for Tony Glen Wallen is 1921 Stonecipher Dr, Ada, OK and can be reached out via phone at 580-436-3980 and via fax at 580-421-2970.

Location: 1921 Stonecipher Dr, Ada, OK, 74820-3439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932720349
Provider Name
Tony Glen Wallen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1921 Stonecipher Dr, Ada, OK, 74820-3439
Phone Number
580-436-3980
Fax Number
580-421-2970
Provider Enumeration Date
04/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1921 Stonecipher Dr
City
Ada
State
Oklahoma
Zip
74820-3439
Phone Number
580-436-3980
Fax Number
580-421-2970
person
Provider Business Mailing Address Details
Address
1921 Stonecipher Dr
City
Ada
State
Oklahoma
Zip
74820-3439
Phone Number
580-436-3980
Fax Number
580-421-2970
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
7421 (Oklahoma)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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