MR. GORDON WALLIS, LMT.
Specialist
Active
Individual
NPI: 1548711005
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | 101469 (AK) |
Frequently Asked Questions
NPI 1548711005 is the National Provider Identifier for MR. GORDON WALLIS, LMT., a Specialist provider located in Anchorage, AK. This NPI was enumerated on October 19, 2016.
MR. GORDON WALLIS, LMT. practices at 142 W 5TH AVE, Anchorage, AK 99501.
Quick Facts
- NPI
- 1548711005
- Type
- Individual
- Enumerated
- Oct 19, 2016
- Last Updated
- Oct 19, 2016
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