Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN K WALLACE, D.V.M.
ActiveVeterinarian · CHICKASHA, OK
Registration Details
- NPI Number
- 1649609728
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2013 (12.513305710732 yrs)
- Last Updated
- Nov 8, 2013
- License
-
5380 (OK)
Practice Information
- Address
-
120 S 6TH STCHICKASHA, OK, 730183420Browse OK providers · Browse ZIP 73018
- Phone
- 4052248023
- Fax
- 4052248024
- Primary Specialty
-
Veterinarian
174M00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.