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Dr. William W Wallace, MD
Allergy Physician in San Diego, California
NPI 1144331513

William W Wallace is an Allergy Physician based in San Diego, CA and is specialized in Allergy. William W Wallace practices in San Diego, CA and has the professional credentials of MD. The NPI Number for William W Wallace is 1144331513 and holds a License No. G17502 (California).

The current practice location address for William W Wallace is 8933 Activity Rd, San Diego, CA and can be reached out via phone at 858-653-6170.

Location: 8933 Activity Rd, San Diego, CA, 92126-4427
person
Provider Profile Details
NPI Number
1144331513
Provider Name
William W Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8933 Activity Rd, San Diego, CA, 92126-4427
Phone Number
858-653-6170
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G175020 05 CA
institution
Provider Business Practice Location Address Details
Address
8933 Activity Rd
City
State
Zip
92126-4427
Phone Number
858-653-6170
Fax Number
person
Provider Business Mailing Address Details
Address
8933 Activity Rd
City
State
Zip
92126-4427
Phone Number
858-653-6170
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
G17502 (California)
Definition
Definition to come...
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