Individual provider · Type 1 NPI

Shain S. Wallis, DO

Diagnostic Radiology Physician · Liverpool, NY

NPI number 1356653729 Active

Practice location

5100 West Taft Rd, Ste 2A
Liverpool, NY 13088

Call (315) 452-2666 Map

Fax (315) 452-2669

Mailing address

4567 Crossroads Park Dr
Liverpool, NY 13088-3589

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X264957 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1356653729

Shain S. Wallis, DO's National Provider Identifier is 1356653729, issued on Jul 13, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Liverpool, NY. The record was last updated on Jan 29, 2024.