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JEFFREY WALLACE
Physician Assistant
NPI: 1619392974IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 600 CAISSON HILL RD
FORT RILEY, KS 66442 - Phone
- (785) 239-7000
Quick Facts
- NPI
- 1619392974
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 12
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