B JEFFREY WALLIS MD PA

CRYSTAL RIVER, FL
NPI1003199076
Doing Business AsADVANCED GASTROENTEROLOGY ASSOCIATES
Entity TypeOrganization
Authorized ContactBARRETT JEFFREY WALLIS
Owner
352-400-8000
Organization Subpart ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
Enumeration Date2011-09-26
Last Update Date2012-08-07
Business Address
B JEFFREY WALLIS MD PA
6152 W CORPORATE OAKS DR
CRYSTAL RIVER, FL 34429-8722
Phone number: 352-564-3900
Mailing Address
B JEFFREY WALLIS MD PA
6152 W CORPORATE OAKS DR
CRYSTAL RIVER, FL 34429-8722
Phone number: 352-564-3900