SearchColorado103T00000X

Aaron Wallis, PHD

NPI 1386406551 · on the registry since 2024 · sole proprietor

Practice

Address
13520 Road 42
Mancos, CO 81328
Phone
(210) 380-8200

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
103TC1900X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-08

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 Colorado