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Organization

WABASH GENERAL HOSPITAL PRIMARY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLAY WILLIAM WALKER PA-C (PHYSICIAN ASSISTANT)
(618) 262-2277
Entity
Organization

Contact information

Practice address
120 JAQUESS AVE, MOUNT CARMEL, IL 62863-1211
(618) 262-2277
(618) 262-2281
Mailing address
120 JAQUESS AVE, MOUNT CARMEL, IL 62863-1211
(618) 262-2277
(618) 262-2281

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
IL

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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