JOHN WALLACE SR., IDC
Military Health Care Provider - Independent Duty Corpsman
Active
Individual
NPI: 1316926066
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Military Health Care Provider - Independent Duty Corpsman | 1710I1002X | Yes | - |
Frequently Asked Questions
NPI 1316926066 is the National Provider Identifier for JOHN WALLACE SR., IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Norfolk, VA. This NPI was enumerated on January 11, 2006.
JOHN WALLACE SR., IDC practices at 300 E MAIN ST, SUITE 1000, Norfolk, VA 23510.
Quick Facts
- NPI
- 1316926066
- Type
- Individual
- Enumerated
- Jan 11, 2006
- Last Updated
- Jul 8, 2007
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