Individual
MR. JUSTIN PAUL WALKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1031 N LEE AVENUE, OKLAHOMA CITY, OK 73102-1036
(405) 272-7225
Mailing address
1216 CAPITOL DR, EDMOND, OK 73003-5065
(917) 817-8594
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4624
OK
363AM0700X
Medical Physician Assistant
4624
OK
Other
Enumeration date
06/25/2021
Last updated
02/19/2025
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