Individual
JASON DAVID WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 6 DULLES, PHILADELPHIA, PA 19104
(215) 349-8310
Mailing address
3400 SPRUCE ST, 6 DULLES, PHILADELPHIA, PA 19104
(215) 349-8310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-451432
PA
Other
Enumeration date
04/09/2008
Last updated
04/05/2024
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