TERESA WALLACE, MD
Family Medicine
Active
Individual
NPI: 1871509646
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | MD00025633 (WA) |
Frequently Asked Questions
NPI 1871509646 is the National Provider Identifier for TERESA WALLACE, MD, a Family Medicine provider located in Renton, WA. This NPI was enumerated on July 31, 2006.
TERESA WALLACE, MD practices at 3915 TALBOT RD S, STE 401, Renton, WA 98055.
Quick Facts
- NPI
- 1871509646
- Type
- Individual
- Enumerated
- Jul 31, 2006
- Last Updated
- Sep 17, 2012
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