NPI 1235497785

Aaron Wallis

Practitioner Community Health Worker Canadian, OK

Practice location

Address: 69 Arrowhead Loop, Canadian, OK 74425-5012
Phone: (918) 339-5800

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Oklahoma →

Registry record

NPI: 1235497785
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 May 2012
Record last updated: 2 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.