NPI 1225871973

Joseph David Wallwork

Practitioner Driver Fairview, PA

Practice location

Address: 1865 Campden Way, Fairview, PA 16415-1971
Phone: (814) 923-3513

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence MGT9706 (PA)

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Registry record

NPI: 1225871973
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2024
Record last updated: 18 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.