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Gordon Wallis, LMT
NPI 1548711005 · on the registry since 2016 · sole proprietor
Practice
- Address
- 142 W 5th Ave
Anchorage, AK 99501 - Phone
- (907) 258-1122
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-19
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