Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GORDON JAY WALLIS, LMT.
Active Sole ProprietorSpecialist · ANCHORAGE, AK
Registration Details
- NPI Number
- 1548711005
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2016 (9.5255546270732 yrs)
- Last Updated
- Oct 19, 2016
- License
-
101469 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
142 W 5TH AVEANCHORAGE, AK, 995012522Browse AK providers · Browse ZIP 99501
- Phone
- 9072581122
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in ANCHORAGE, AK
| Name | Credential | NPI |
|---|---|---|
| CAROLYN RHENE MERKOURIS | MD | 1174503395 |
| MICHELE O'FALLON | M.D. | 1902877251 |
| LAURIE MONTANO | M.D. | 1710958061 |
| DR. LATHA SUBRAMANIAN | M.D. | 1841262201 |
| MARY C TOTTEN | MD | 1487602066 |
| DR. JEANNE E. ANDERSON | MD | 1851334346 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.