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Stephen Russell Wallace, DO
Diagnostic Radiology Physician in Durham, North Carolina
NPI 1194220061

Stephen Russell Wallace is a Diagnostic Radiology Physician based in Charlotte, NC and is specialized in Diagnostic Radiology. Stephen Russell Wallace practices in Durham, NC and has the professional credentials of DO. The NPI Number for Stephen Russell Wallace is 1194220061 and holds a License No. 2023-00659 (North Carolina).

The current practice location address for Stephen Russell Wallace is 2301 Erwin Rd, Durham, NC and can be reached out via phone at 919-684-8111.

Location: 2301 Erwin Rd, Durham, NC, 28263-3362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194220061
Provider Name
Stephen Russell Wallace
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2301 Erwin Rd, Durham, NC, 28263-3362
Phone Number
919-684-8111
Fax Number
Provider Enumeration Date
03/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2301 Erwin Rd
City
Durham
State
North Carolina
Zip
27705-4699
Phone Number
919-684-8111
Fax Number
person
Provider Business Mailing Address Details
Address
2301 Erwin Rd
City
Durham
State
North Carolina
Zip
27705-4699
Phone Number
919-684-8111
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
2023-00659 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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