Individual
CHRISTOPHER JAMES WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1610 SCOTT ST, SAN FRANCISCO, CA 94115-3014
(415) 928-6148
Mailing address
1610 SCOTT ST, SAN FRANCISCO, CA 94115-3014
(415) 928-6148
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G69710
CA
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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