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Search › Oklahoma › 106S00000X

Asia Wallace

NPI 1992633929 · on the registry since 2026 · sole proprietor

Practice

Address
416 W 15th St Ste 600
Edmond, OK 73013
Phone
(572) 910-4971
Organisation at this address
Glacier Healthcare, Llc
Saint Medical Group, Llc
Edmond Hyperbarics, Inc.
Tulsa Podiatry Clinics Llc
Foundation Medical Staffing
Inferred from a shared address, not stated in the registry.
Clinicians at this address
117

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-11

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