Individual
WILLIAM ROBERT CHRISTOPHER WALLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
838 MARKET ST, ZANESVILLE, OH 43701
(740) 452-9319
(740) 452-2427
Mailing address
838 MARKET ST, ZANESVILLE, OH 43701
(740) 452-9319
(740) 452-2427
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34004926
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0940245
—
OH
Enumeration date
02/24/2006
Last updated
07/08/2007
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