Rebecca C Wallon, PA

NPI #1316223746 in Urbana, Illinois

Provider Information

NPI Number: 1316223746
Entity Type: Individual
Name: Rebecca C Wallon, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 31, 2011
Last Updated: Aug 27, 2019

Practice Location

Address: 611 W PARK ST
City: Urbana
State: Illinois
ZIP Code: 61801-2529
Phone: (217) 383-3364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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