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Individual

DAVID ROBERT DEWALCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
700 OLYMPIC PLAZA CIR STE 600, TYLER, TX 75701-1954
(903) 596-3488
Mailing address
700 OLYMPIC PLAZA CIR STE 600, TYLER, TX 75701-1954
(903) 596-3488

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04127
TX

Other

Enumeration date
12/04/2007
Last updated
02/01/2024
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