Robert Jennings Wallace is a General Practice Physician based in St Petersburg, FL. Robert Jennings Wallace practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Robert Jennings Wallace is 1821396151 and holds a License No. ME 42522 (Florida).
The current practice location address for Robert Jennings Wallace is 3600 Central Ave, St Petersburg, FL and can be reached out via phone at 727-826-0700 and via fax at 727-954-6994.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108108 | 01 | FL | STAYWELL |
| 0007618489 | 01 | AETNA | |
| 14NU6 | 01 | FL | FLORIDA BLUE |
| 11382461 | 01 | FL | CAQH |
| 189052 | 01 | CIGNA | |
| 000121140 | 01 | UNITED INSURANCE | |
| 05595987 | 01 | CLEAR | |
| 14NU6 | 01 | FLORIDA BLUE | |
| 111163300 | 05 | FL | |
| 14NU6 | 01 | FL | BLUE CROSS BLUE SHIELD |
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