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1083888325
MICHAEL JASON WALLS
CRESTVIEW HILLS, KY
NPI
1083888325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: KY 42678)
Enumeration Date
2008-04-17
Last Update Date
2024-12-20
Business Address
Dr. MICHAEL JASON WALLS M.D.
2845 CHANCELLOR DR
CRESTVIEW HILLS, KY 41017-3418
Phone number: 859-301-2663
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Mailing Address
Dr. MICHAEL JASON WALLS M.D.
560 S LOOP RD
EDGEWOOD, KY 41017-3405
Phone number: 859-301-2663
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