Individual provider · Type 1 NPI

Jodi Beth Wallis, DO

Obstetrics & Gynecology Physician · Syracuse, NY

NPI number 1811135684 Active

Practice location

725 Irving Ave, Ste 600
Syracuse, NY 13210-1603

Fax (315) 464-4613

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X271804 (NY)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1811135684

Jodi Beth Wallis, DO's National Provider Identifier is 1811135684, issued on Feb 1, 2009. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Syracuse, NY. The record was last updated on Nov 14, 2013.