Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Wallis

Individual provider Peer Specialist · NPI 1467048405

Justin Wallis is a Peer Specialist in Oklahoma City, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

6100 S Walker Ave
Oklahoma City, OK 73139-7026
Phone: (405) 634-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1467048405
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 14, 2020
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020

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