HARVEY WALLACK, M.D.

Urology

Active Individual
NPI: 1811096407

Practice Address

227 W JANSS RD STE 125
Thousand Oaks, CA 91360

Phone: (805) 496-4459

Specialties

Specialty Code Primary License
Urology 208800000X Yes G26513 (CA)

Frequently Asked Questions

NPI 1811096407 is the National Provider Identifier for HARVEY WALLACK, M.D., a Urology provider located in Thousand Oaks, CA. This NPI was enumerated on September 21, 2006.
HARVEY WALLACK, M.D. practices at 227 W JANSS RD STE 125, Thousand Oaks, CA 91360.

Quick Facts

NPI
1811096407
Type
Individual
Enumerated
Sep 21, 2006
Last Updated
Jul 8, 2007

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