JOHN M WALLIS

PHILADELPHIA, PA
NPI1639734569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  MT218139)
Enumeration Date2019-05-06
Last Update Date2019-06-09
Business Address
Dr. JOHN M WALLIS MD
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107-4405
Phone number: 215-955-8465
Mailing Address
Dr. JOHN M WALLIS MD
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107-4405
Phone number: 215-955-8465