WALLACE A HELLER MD

JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

Dr WALLACE A HELLER MD is a male medical professional, specializing in Psychiatry. He graduated in 1996.

Contact

JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

205 S PARK LN
SUITE 210
ALTUS
OK
735215757

Tel: 5803796650

WALLACE A HELLER MD Information

Npi 1023015583
Pac Id 6002915717
Professional Enrollment Id I20070621000097
Last Name HELLER
First Name WALLACE
Middle Name A
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1996
Primary Specialty PSYCHIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY
Group Practice Pac Id 1759293178
Number Of Group Practice Members 29
Line 1 Street Address 205 S PARK LN
Line 2 Street Address SUITE 210
Marker Of Address Line 2 Suppression
City ALTUS
State OK
Zip Code 735215757
Phone Number 5803796650
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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