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Dr. Richard Austin Wallace, MD
Otology & Neurotology Physician in Charleston, West Virginia
NPI 1013957034

Richard Austin Wallace is a Otology & Neurotology Physician based in Charleston, WV and is specialized in Otology & Neurotology. Richard Austin Wallace practices in Charleston, WV and has the professional credentials of MD. The NPI Number for Richard Austin Wallace is 1013957034 and holds a License No. WV11648 (West Virginia).

The current practice location address for Richard Austin Wallace is 1306 Kanawha Blvd E, Charleston, WV and can be reached out via phone at 304-343-4371 and via fax at 304-353-0215.

Location: 1306 Kanawha Blvd E, Charleston, WV, 25301-3001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013957034
Provider Name
Richard Austin Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1306 Kanawha Blvd E, Charleston, WV, 25301-3001
Phone Number
304-343-4371
Fax Number
304-353-0215
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013957034 01 WV NPI
010107500 05 WV
institution
Provider Business Practice Location Address Details
Address
1306 Kanawha Blvd E
City
Charleston
State
West Virginia
Zip
25301-3001
Phone Number
304-343-4371
Fax Number
304-353-0215
person
Provider Business Mailing Address Details
Address
1306 Kanawha Blvd E
City
Charleston
State
West Virginia
Zip
25301-3001
Phone Number
304-343-4371
Fax Number
304-353-0215
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otology & Neurotology
Taxonomy
207YX0901X
License No.
WV11648 (West Virginia)
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
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