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Justin Robert Wallace, MD
Vascular Surgery Physician in Cranberry Township, Pennsylvania
NPI 1033372594

Justin Robert Wallace is a Vascular Surgery Physician based in Greensburg, PA and is specialized in Vascular Surgery. Justin Robert Wallace practices in Cranberry Township, PA and has the professional credentials of MD. The NPI Number for Justin Robert Wallace is 1033372594 and holds a License No. MD443733 (Pennsylvania).

The current practice location address for Justin Robert Wallace is 51 Dutilh Rd Ste 100, Cranberry Township, PA and can be reached out via phone at 724-278-3484.

Location: 51 Dutilh Rd Ste 100, Cranberry Township, PA, 15601-3661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033372594
Provider Name
Justin Robert Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
51 Dutilh Rd Ste 100, Cranberry Township, PA, 15601-3661
Phone Number
724-278-3484
Fax Number
Provider Enumeration Date
07/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103020618 05 PA
institution
Provider Business Practice Location Address Details
Address
51 Dutilh Rd Ste 100
City
Cranberry Township
State
Pennsylvania
Zip
16066-4148
Phone Number
724-278-3484
Fax Number
person
Provider Business Mailing Address Details
Address
51 Dutilh Rd Ste 100
City
Cranberry Township
State
Pennsylvania
Zip
16066-4148
Phone Number
724-278-3484
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
MD443733 (Pennsylvania)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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