Search › Oklahoma › 174M00000X
Justin Wallace, D.V.M
NPI 1649609728 · on the registry since 2013
Practice
- Address
- 120 S 6th St
Chickasha, OK 73018 - Phone
- (405) 224-8023
- Fax
- (405) 224-8024
Registry record
- Primary taxonomy
- 174M00000X
174M00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma