DR. Gregory Wallis, DO is a student in an organized health care education training program in Joplin, MO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Gregory Wallis, DO NPI is 1790308278. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1031 MCINTOSH CIR
JOPLIN, MO
ZIP 64804-643
Phone: (801) 455-5078
Fax: (437) 537-5094
The NPI 1790308278 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/19/2020 and was last updated on 5/19/2020.