Walter Ray Wolfe M.D.

NPI 1073629739 - Specialist - 174400000X

NPI Details
NPI 1073629739
Gender Male
Enumeration Date 08/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5903 RIDGEWOOD RD
SUITE 210
JACKSON MS, 39211-3700, US
Phone (601) 899-3220
Fax (601) 899-3223
Business Location
5903 RIDGEWOOD RD
SUITE 210
JACKSON MS, 39211-3700, US
Phone (601) 899-3220
Fax (601) 899-3223
Toxanomy
Taxonomy Code 174400000X
License State Mississippi
License Number 11096
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According to our database, Walter Ray Wolfe M.D. NPI is 1073629739, taxonomy code is 174400000X and license number is 11096, license state is located at Mississippi. Walter Ray Wolfe M.D. physically located at 5903 Ridgewood Rd, Jackson MS, 39211-3700. NPI Number Walter Ray Wolfe M.D. has the Individual type.

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1073629739 NPI number is provided on an as is basis without warranty of any kind. 1073629739 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Ray Wolfe M.D. are for informational purposes only.