Individual provider · Type 1 NPI

Justin K. Wallace, D.V.M.

Veterinarian · Chickasha, OK

NPI number 1649609728 Active

Practice location

120 S 6th St
Chickasha, OK 73018-3420

Call (405) 224-8023 Map

Fax (405) 224-8024

Specialties and licenses

TaxonomyCodeLicense
Veterinarian Primary 174M00000X5380 (OK)

Veterinarian: A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.

About NPI 1649609728

Justin K. Wallace, D.V.M.'s National Provider Identifier is 1649609728, issued on Nov 8, 2013. The primary taxonomy on file is Veterinarian (174M00000X), and the practice location is in Chickasha, OK. The record was last updated on Nov 8, 2013.