B Jeffrey Wallis Md Pa

NPI 1003199076 - Internal Medicine - 207RG0100X

NPI Details
NPI 1003199076
Enumeration Date 09/26/2011
Last Updated 08/07/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BARRETT JEFFREY BARRETT
Position OWNER
Phone (352) 564-3900
Fax (352) 564-3903
Practice Location
6152 W CORPORATE OAKS DR
CRYSTAL RIVER FL, 34429-8722, US
Phone (352) 564-3900
Fax (352) 564-3903
Business Location
6152 W CORPORATE OAKS DR
CRYSTAL RIVER FL, 34429-8722, US
Phone (352) 564-3900
Fax (352) 564-3906
Toxanomy
Taxonomy Code 207RG0100X
License State
License Number
Remove 1003199076 NPI Number
 

According to our database, B Jeffrey Wallis Md Pa NPI is 1003199076, taxonomy code is 207RG0100X B Jeffrey Wallis Md Pa physically located at 6152 W Corporate Oaks Dr, Crystal River FL, 34429-8722. NPI Number 1033115704 has the healthcare provider type.

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1003199076 NPI number is provided on an as is basis without warranty of any kind. 1003199076 is maintained by the National Plan & Provider Enumeration System. The contents of B Jeffrey Wallis Md Pa are for informational purposes only.