JARED WALLACE, PA-C

PA-C

Physician Assistant

NPI: 1063746667IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2009

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Contact & Hours

Address: 43783 KENAI SPUR HWY
KENAI, AK 99611
Phone: (907) 283-9116

Quick Facts

NPI: 1063746667
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 17

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