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NPI Code Detail

MEDICARE: DR. JOSEPH WALTER M.D.

MEDICARE: DR. JOSEPH WALTER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0214XPediatric Pulmonology PhysicianL3864TX
22080P0214XPediatric Pulmonology Physician28520OK

General Provider Information

NPI Number : 1336109966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH WALTER M.D.
Provider Business Mailing Address
First Line : 6600 S YALE AVE
Second Line : SUITE 1400
City : TULSA
State : OK
Zip : 74136-3347
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6465 S YALE AVE STE 910
Second Line :
City : TULSA
State : OK
Zip : 74136-7811
Country : US
Telephone Number : 918-502-2000
Fax Number : 918-502-2010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 05/17/2024

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Directions to “ DR. JOSEPH WALTER M.D.” Practice Location

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