Erik Jack Wallace, PA-C
NPI #1063193084 in Bethlehem, Pennsylvania
Provider Information
- NPI Number
- 1063193084
- Entity Type
- Individual
- Name
- Erik Jack Wallace, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 31, 2023
- Last Updated
- Feb 12, 2024
Practice Location
- Address
- 801 OSTRUM ST
- City
- Bethlehem
- State
- Pennsylvania
- ZIP Code
- 18015-1000
- Phone
- (866) 785-8537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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