NPI 1649609728

Justin K Wallace, DVM

Practitioner Veterinarian Chickasha, OK

Practice location

Address: 120 S 6th St, Chickasha, OK 73018-3420
Phone: (405) 224-8023
Fax: (405) 224-8024

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 5380 (OK)

Other Veterinarian providers in Oklahoma →

Registry record

NPI: 1649609728
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2013
Record last updated: 8 Nov 2013

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.