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Dr. Grant Charles Wallace, MD
Diagnostic Radiology Physician in Oceanside, California
NPI 1043208101

Grant Charles Wallace is a Diagnostic Radiology Physician based in Ocenside, CA and is specialized in Diagnostic Radiology. Grant Charles Wallace practices in Oceanside, CA and has the professional credentials of MD. The NPI Number for Grant Charles Wallace is 1043208101 and holds a License No. G80310 (California).

The current practice location address for Grant Charles Wallace is 200 Mercy Circle, Oceanside, CA and can be reached out via phone at 760-719-3479. You can also correspond with Grant Charles Wallace through the mailing address at 200 MERCY CIRCLE, OCENSIDE, CA - 92055 (mailing address contact number: 760-719-3479).

Location: 200 Mercy Circle, Oceanside, CA, 92055
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Provider Profile Details
NPI Number
1043208101
Provider Name
Grant Charles Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Mercy Circle, Oceanside, CA, 92055
Phone Number
760-719-3479
Fax Number
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
200 Mercy Circle
City
State
Zip
92055
Phone Number
760-719-3479
Fax Number
person
Provider Business Mailing Address Details
Address
200 Mercy Circle
City
State
Zip
92055
Phone Number
760-719-3479
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
G80310 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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