DR. Mark S Wallis, M.D.

NPI #1861489049 in Longview, Texas

Provider Information

NPI Number
1861489049
Entity Type
Individual
Name
DR. Mark S Wallis, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dermatology - MOHS-Micrographic Surgery
Credential
M.D.
Enumeration Date
Oct 3, 2005
Last Updated
Mar 7, 2023

Practice Location

Address
3535 N FOURTH ST STE 400
State
Texas
ZIP Code
75605-0038
Phone
(903) 757-3881

Specialties & Taxonomy Codes

Specialty
Dermatology
Dermatology - DermatopathologyDermatopathology
Dermatology - Clinical & Laboratory Dermatological ImmunologyClinical & Laboratory Dermatological Immunology
Dermatology - Pediatric DermatologyPediatric Dermatology
Dermatology - Procedural DermatologyProcedural Dermatology
Dermatology - MOHS-Micrographic SurgeryMOHS-Micrographic Surgery

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