Individual provider · Type 1 NPI

Wallace Jackson Champlain, DO

Obstetrics & Gynecology Physician · Tahlequah, OK

NPI number 1689648636 Active

Practice location

1500 E Downing St Ste 208
Tahlequah, OK 74464-3234

Call (918) 456-2496 Map

Fax (918) 456-7108

Mailing address

1500 E Downing Suite 208
Tahlequah, OK 74464-3363

Other practice locations

  • 127 E Main, Hulbert, OK 74441 · (918) 772-3390

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X1994 (OK)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5 other providers at this address

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About NPI 1689648636

Wallace Jackson Champlain, DO's National Provider Identifier is 1689648636, issued on Feb 15, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Tahlequah, OK. The record was last updated on Jun 4, 2019.