MR. Trevor J Wallace, PA-C

NPI #1396281200 in Oak Ridge, Tennessee

Provider Information

NPI Number
1396281200
Entity Type
Individual
Name
MR. Trevor J Wallace, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jan 17, 2017
Last Updated
Nov 19, 2024

Practice Location

Address
988 OAK RIDGE TPKE STE 100
ZIP Code
37830-6919
Phone
(865) 690-4861

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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