Marisa N Wallas, DO
NPI #1033748199 in Cranberry Township, Pennsylvania
Provider Information
- NPI Number
- 1033748199
- Entity Type
- Individual
- Name
- Marisa N Wallas, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- Apr 2, 2020
- Last Updated
- Sep 7, 2023
Practice Location
- Address
- 20630 ROUTE 19
- State
- Pennsylvania
- ZIP Code
- 16066-6021
- Phone
- (724) 779-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Family Medicine |
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