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Harrison Walls, DO

Student in an Organized Health Care Education/Training Program in Hudson, FL. Individual provider (NPI-1).

NPI number1043079643
StatusActive
Last updated in NPPESMar 15, 2024

Details

NPI
1043079643
Entity type
Individual (NPI-1)
Name
Harrison Walls
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 15, 2024
Certification date
Mar 15, 2024
Last updated
Mar 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–FLYes

Practice location

14000 Fivay Rd
Hudson, FL 34667-7103

Phone 727-992-6230

Mailing address

14000 Fivay Rd
Hudson, FL 34667-7103

Phone 727-992-6230

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