THOMAS WALLACE, M.D.
Internal Medicine - Critical Care Medicine
Active
Individual
NPI: 1679641666
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine - Critical Care Medicine | 207RC0200X | Yes | G42269 (CA) |
Frequently Asked Questions
NPI 1679641666 is the National Provider Identifier for THOMAS WALLACE, M.D., a Internal Medicine - Critical Care Medicine provider located in Modesto, CA. This NPI was enumerated on November 30, 2006.
THOMAS WALLACE, M.D. practices at 1441 FLORIDA AVE, Modesto, CA 95350.
Quick Facts
- NPI
- 1679641666
- Type
- Individual
- Enumerated
- Nov 30, 2006
- Last Updated
- Jul 8, 2007
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