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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD G WALLIS MD PA

Active Organization

RICHARD G WALLIS MD PA is a Anesthesiology organization located in JACKSONVILLE, Florida. NPI 1801169412 is currently active in the NPPES registry. Verify at CMS.

Anesthesiology · JACKSONVILLE, FL

Registration Details

NPI Number
1801169412
Provider Type
Organization
NPI Issued
Feb 13, 2012 (14.520685043075 yrs)
Last Updated
Feb 13, 2012
License
ME37752 (FL)

Practice Information

Address
1 SHIRCLIFF WAY
JACKSONVILLE, FL, 322044748
Browse FL providers · Browse ZIP 32204
Phone
9044212119
Primary Specialty
Anesthesiology
207L00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.