JOHN WALLACE II, MD
Internal Medicine
Active
Individual
NPI: 1023079803
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | G37773 (CA) |
Frequently Asked Questions
NPI 1023079803 is the National Provider Identifier for JOHN WALLACE II, MD, a Internal Medicine provider located in Fort Bragg, CA. This NPI was enumerated on March 31, 2006.
JOHN WALLACE II, MD practices at 205 SOUTH ST, Fort Bragg, CA 95437.
Quick Facts
- NPI
- 1023079803
- Type
- Individual
- Enumerated
- Mar 31, 2006
- Last Updated
- Dec 22, 2011
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