Phyllis Wallace, NP

NURSE PRACTITIONER

1221 Arlington St

Suite B

Ada, OK 748204067

5809253286227

**NPI:** 1366486417

**Med School:** UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE

**Experience:** 23 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

CENTRAL OKLAHOMA FAMILY MEDICAL CENTER INC

1221 Arlington St, Suite B
Ada, OK 748204067

Phone: 5809253286227

**Group ID:** 9931189685 | **Group Size:** 55 members

MERCY HOSPITAL ADA Type: Hospital
430 NORTH MONTE VISTA
Phone: (580) 332-2323
Medicare CCN: 370020 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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