Mattison Lee Wallin, PA-C

NPI #1255210480 in Jamestown, New York

Provider Information

NPI Number: 1255210480
Entity Type: Individual
Name: Mattison Lee Wallin, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 1, 2025
Last Updated: Sep 1, 2025

Practice Location

Address: 107 INSTITUTE ST
City: Jamestown
State: New York
ZIP Code: 14701-6628
Phone: (716) 484-4334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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