B Jeffrey Wallis MD PA
NPI #1003199076 in Crystal River, Florida
Provider Information
- NPI Number
- 1003199076
- Entity Type
- Organization
- Organization Name
- B Jeffrey Wallis MD PA
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Sep 26, 2011
- Last Updated
- Aug 7, 2012
Practice Location
- Address
- 6152 W CORPORATE OAKS DR
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-8722
- Phone
- (352) 564-3900
Authorized Official
- Name
- DR. BARRETT JEFFREY WALLIS, M.D.
- Title
- OWNER
- Phone
- (352) 400-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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