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Contact Information

WALTER M BOOMER, MD
13313 N MERIDIAN AVE STE D
OKLAHOMA CITY, OK73120-8316
 Phone: 405-755-4290
 Fax: 405-755-7773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WALTER M BOOMER · (Male)

NPI # 1578598074
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2006
Last updated 01/14/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • OK License # 17300
  • OK Medicaid 100090560A
Hospital affiliation(s)
  • CREEK NATION COMMUNITY HOSPITAL - (Critical Access)
    309 NORTH 14TH
    OKEMAH, OK 74859
  • HILLCREST MEDICAL CENTER - (Acute Care)
    1120 SOUTH UTICA AVENUE
    TULSA, OK 74104
  • MUSKOGEE REGIONAL MEDICAL CENTER - (Acute Care)
    300 ROCKEFELLER DRIVE
    MUSKOGEE, OK 74401
  • SAINT FRANCIS HOSPITAL INC - (Acute Care)
    6161 SOUTH YALE
    TULSA, OK 74136
  • SAINT FRANCIS HOSPITAL SOUTH - (Acute Care)
    10501 EAST 91ST STREET SOUTH
    TULSA, OK 74133
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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