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Individual
WALLIS TAYLOR MUHLY
Active
Individual
WALLIS TAYLOR MUHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD439078
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD439078
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025918190001
—
PA
01
—
221569EJL
MEDICARE PTAN
PA
Enumeration date
06/30/2009
Last updated
12/30/2022
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