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Dr. Robert D Wallace, MD
Plastic and Reconstructive Surgery Physician in Memphis, Tennessee
NPI 1023075637

Robert D Wallace is a Plastic and Reconstructive Surgery Physician based in Memphis, TN and is specialized in Plastic and Reconstructive Surgery. Robert D Wallace practices in Memphis, TN and has the professional credentials of MD. The NPI Number for Robert D Wallace is 1023075637 and holds a License No. 27658 (Tennessee).

The current practice location address for Robert D Wallace is 1068 Cresthaven Rd Ste 500, Memphis, TN and can be reached out via phone at 901-866-8525.

Location: 1068 Cresthaven Rd Ste 500, Memphis, TN, 38104-3641
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Provider Profile Details
NPI Number
1023075637
Provider Name
Robert D Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1068 Cresthaven Rd Ste 500, Memphis, TN, 38104-3641
Phone Number
901-866-8525
Fax Number
Provider Enumeration Date
04/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130322001 05 AR
00118676 05 MS
3804973 05 TN
institution
Provider Business Practice Location Address Details
Address
1068 Cresthaven Rd Ste 500
City
State
Zip
38119
Phone Number
901-866-8525
Fax Number
person
Provider Business Mailing Address Details
Address
1068 Cresthaven Rd Ste 500
City
State
Zip
38119
Phone Number
901-866-8525
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
27658 (Tennessee)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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