DR. GARY WALLACE, M.D., FAAFP

Family Medicine

Active Individual
NPI: 1962484634

Practice Address

BLDG 5-4257
BASTOGNE EXTENSION
Fort Bragg, NC 28310

Phone: (910) 907-9560

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes J8821 (TX)

Frequently Asked Questions

NPI 1962484634 is the National Provider Identifier for DR. GARY WALLACE, M.D., FAAFP, a Family Medicine provider located in Fort Bragg, NC. This NPI was enumerated on November 17, 2005.
DR. GARY WALLACE, M.D., FAAFP practices at BLDG 5-4257, BASTOGNE EXTENSION, Fort Bragg, NC 28310.

Quick Facts

NPI
1962484634
Type
Individual
Enumerated
Nov 17, 2005
Last Updated
Jul 8, 2007

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