John Walli Npc
Physician Assistant, Surgical in Biloxi, MS. Organization (NPI-2).
NPI number1295598043
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1295598043
- Entity type
- Organization (NPI-2)
- Legal business name
- John Walli Npc
- Organization subpart
- No
- Enumeration date
- Feb 5, 2024
- Certification date
- Feb 4, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
2781 C T Switzer Sr DrBiloxi, MS 39531-4536
Phone 228-594-2900
Mailing address
16443 Delia DrBiloxi, MS 39532-9411
Authorized official
John Walli
NP-C
2288605164
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