DR. GRANT WALLACE, M.D.
Radiology - Diagnostic Radiology
Active
Individual
NPI: 1043208101
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Radiology - Diagnostic Radiology | 2085R0202X | Yes | G80310 (CA) |
Frequently Asked Questions
NPI 1043208101 is the National Provider Identifier for DR. GRANT WALLACE, M.D., a Radiology - Diagnostic Radiology provider located in Oceanside, CA. This NPI was enumerated on October 12, 2005.
DR. GRANT WALLACE, M.D. practices at 200 MERCY CIRCLE, Oceanside, CA 92055.
Quick Facts
- NPI
- 1043208101
- Type
- Individual
- Enumerated
- Oct 12, 2005
- Last Updated
- Sep 25, 2023
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