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Wallace B Carroll, MD
Pediatrics Physician in Modesto, California
NPI 1003874124

Wallace B Carroll is a Pediatrics Physician based in Modesto, CA. Wallace B Carroll practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Wallace B Carroll is 1003874124 and holds a License No. A31444 (California).

The current practice location address for Wallace B Carroll is 600 Coffee Rd, Modesto, CA and can be reached out via phone at 209-524-1211.

Location: 600 Coffee Rd, Modesto, CA, 95355-4201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003874124
Provider Name
Wallace B Carroll
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
600 Coffee Rd, Modesto, CA, 95355-4201
Phone Number
209-524-1211
Fax Number
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A314440 05 CA
institution
Provider Business Practice Location Address Details
Address
600 Coffee Rd
City
Modesto
State
California
Zip
95355-4201
Phone Number
209-524-1211
Fax Number
person
Provider Business Mailing Address Details
Address
600 Coffee Rd
City
Modesto
State
California
Zip
95355-4201
Phone Number
209-524-1211
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
207KA0200X
License No.
A31444 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
A31444 (California)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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