Individual provider · Type 1 NPI
Allison Marie Wallum, PA-C
Medical Physician Assistant · Tavares, FL
NPI number
1639436926
Active
Practice location
3345 Waterman Way
Tavares, FL 32778-5220
Fax (352) 343-0154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9106452 (FL) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Tavares
About NPI 1639436926
Allison Marie Wallum, PA-C's National Provider Identifier is 1639436926, issued on Apr 12, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tavares, FL. The record was last updated on Nov 7, 2018.