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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICK M WALLACE, FSP

Active Sole Proprietor

RICK M WALLACE, FSP is a Case Manager healthcare provider located in ALTUS, Oklahoma. NPI 1376898684 is currently active in the NPPES registry. Verify at CMS.

Case Manager · ALTUS, OK

Registration Details

NPI Number
1376898684
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2012 (14.262101983757 yrs)
Last Updated
Jul 24, 2012
Sole Proprietor
Yes

Practice Information

Address
1313 N FORREST ST
ALTUS, OK, 735212734
Browse OK providers · Browse ZIP 73521
Phone
5804826229
Fax
5804826239
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in ALTUS, OK

Name Credential NPI
MS. DIANNE MOORE — 1467757765
SUSAN JEAN HANNAH — 1770889537
BETH ANN FERGUSON BSOE 1245515600
MRS. KELLE DEON CYBULSKI — 1578830006
MISTY DEHEON REUTER AA 1619248291
MR. ANTONIO ALFARO B.S.; B.H.R.S.; C.C. 1487915898
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.