Search › Alaska › 363A00000X
Jared Wallace, PA-C
NPI 1063746667 · on the registry since 2009
Practice
- Address
- 43783 Kenai Spur Hwy
Kenai, AK 99611 - Phone
- (907) 283-9116
- Fax
- (907) 283-9122
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Sex
- Male
- Record last updated
- 2023-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska