IndividualActive
Aaron Wallis
NPI 1235497785 · Community Health Worker · Canadian, OK
Provider details
- NPI number
- 1235497785
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
69 Arrowhead Loop
Canadian, OK 74425-5012
Phone: (918) 339-5800
Approximate (ZIP-level) locationGet directions
Mailing address
69 Arrowhead Loop
Canadian, OK 74425-5012
Registry dates
- Enumerated
- 2012-05-02
- Last updated
- 2012-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.