ERIK JACK WALLACE

BETHLEHEM, PA
NPI1063193084
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA065385)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2023-07-31
Last Update Date2024-02-12
Business Address
ERIK JACK WALLACE PA-C
801 OSTRUM ST
BETHLEHEM, PA 18015-1000
Phone number: 866-785-8537
Mailing Address
ERIK JACK WALLACE PA-C
20 HIGHLAND VIEW CT
EASTON, PA 18042-9792
Phone number: 484-619-5066