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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
2024-02-13
Business Address
Dr. MICHAEL JASON WALLS M.D.
320 THOMAS MORE PKWY SUITE 202
CRESTVIEW HILLS, KY 41017-3410
Phone number: 859-331-0432
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Mailing Address
Dr. MICHAEL JASON WALLS M.D.
PO BOX 21890
BELFAST, ME 04915-4115
Phone number: 502-907-0356
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