Individual
CHRISTOPHER WALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5881
Mailing address
114 BURY DR, SYRACUSE, NY 13209-1211
(315) 427-7346
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019355-1
NY
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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