RICHARD G WALLIS MD PA

JACKSONVILLE, FL
NPI1801169412
Entity TypeOrganization
Authorized ContactRICHARD WALLIS
President
904-421-2119
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: FL  ME37752)
Enumeration Date2012-02-13
Last Update Date2012-02-13
Business Address
RICHARD G WALLIS MD PA
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204-4748
Phone number: 904-421-2119
Mailing Address
RICHARD G WALLIS MD PA
6255 LAKE GRAY BLVD SUITE 1
JACKSONVILLE, FL 32244-7502
Phone number:
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