John T Wallace II is a Internal Medicine Physician based in Fort Bragg, CA. John T Wallace II practices in Fort Bragg, CA and has the professional credentials of MD. The NPI Number for John T Wallace II is 1023079803 and holds a License No. G37773 (California).
The current practice location address for John T Wallace II is 205 South St, Fort Bragg, CA and can be reached out via phone at 707-964-1251 and via fax at 707-961-2722.
Identifier | Type | State | Issuer |
---|---|---|---|
00G377730 | 05 | CA |
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