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WALLACE, NICHOLE GREEN
Practice Address: UNIVERSITY OF OKLAHOMA-TULSA
2829 S SHERIDAN RD
TULSA OK 74129

Address last updated on 3/6/2013
Phone #: (918) 619-4302
Fax #:
County: TULSA
License: 23314
Dated: 5/7/2003
Expires: 5/1/2014
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Warren Alpert Med Sch of Brown Univ, Providence, RI
Graduated: 6 / 2000
CME Year: 2015
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Child Abuse Pediatrics
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
UNIVERSITY OF OKLAHOMA-TULSA
2829 S SHERIDAN RD
TULSA OK 74129

Phone #: (918) 619-4302
Fax #:

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