DR. RICHARD WALLACE, M.D.
Family Medicine
Active
Individual
NPI: 1275586448
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | ME85690 (FL) |
| Family Medicine - Sports Medicine | 207QS0010X | No | ME85690 (FL) |
Frequently Asked Questions
NPI 1275586448 is the National Provider Identifier for DR. RICHARD WALLACE, M.D., a Family Medicine provider located in Clearwater, FL. This NPI was enumerated on May 18, 2006.
DR. RICHARD WALLACE, M.D. practices at 1001 S FORT HARRISON AVE, SUITE 101, Clearwater, FL 33756.
Quick Facts
- NPI
- 1275586448
- Type
- Individual
- Enumerated
- May 18, 2006
- Last Updated
- Sep 27, 2016
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