MARK WALLACE, M.D.

Radiology - Diagnostic Radiology

Active Individual
NPI: 1689690091

Practice Address

2020 COURT ST
Redding, CA 96001

Phone: (530) 243-1236

Specialties

Specialty Code Primary License
Radiology - Diagnostic Radiology 2085R0202X Yes G31736 (CA)

Frequently Asked Questions

NPI 1689690091 is the National Provider Identifier for MARK WALLACE, M.D., a Radiology - Diagnostic Radiology provider located in Redding, CA. This NPI was enumerated on July 15, 2006.
MARK WALLACE, M.D. practices at 2020 COURT ST, Redding, CA 96001.

Quick Facts

NPI
1689690091
Type
Individual
Enumerated
Jul 15, 2006
Last Updated
Jul 8, 2007

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