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Dr. Robert C Wallace, MD
Diagnostic Radiology Physician in Phoenix, Arizona
NPI 1386619831

Robert C Wallace is a Diagnostic Radiology Physician based in Phoenix, AZ and is specialized in Diagnostic Radiology. Robert C Wallace practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Robert C Wallace is 1386619831 and holds a License No. 22535 (Arizona).

The current practice location address for Robert C Wallace is 350 W Thomas Rd, Phoenix, AZ and can be reached out via phone at 602-406-3000.

Location: 350 W Thomas Rd, Phoenix, AZ, 85061-7340
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Provider Profile Details
NPI Number
1386619831
Provider Name
Robert C Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
350 W Thomas Rd, Phoenix, AZ, 85061-7340
Phone Number
602-406-3000
Fax Number
Provider Enumeration Date
02/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ0835370 01 AZ BCBSAZ
XPY191790 01 AZ MEDI-CAL MEDICAID
1Z7046 01 AZ HEALTH NET OF AZ
404369 05 AZ
institution
Provider Business Practice Location Address Details
Address
350 W Thomas Rd
City
State
Zip
85013-4409
Phone Number
602-406-3000
Fax Number
person
Provider Business Mailing Address Details
Address
350 W Thomas Rd
City
State
Zip
85013-4409
Phone Number
602-406-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
22535 (Arizona)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
22535 (Arizona)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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