person
Mr. Craig Philip Wallace, PA-C
Medical Physician Assistant in Olympia, Washington
NPI 1851351522

Craig Philip Wallace is a Medical Physician Assistant based in Olympia, WA and is specialized in Medical. Craig Philip Wallace practices in Olympia, WA and has the professional credentials of PA-C. The NPI Number for Craig Philip Wallace is 1851351522 and holds a License No. PA10003829 (Washington).

The current practice location address for Craig Philip Wallace is 700 Lilly Rd Ne, Olympia, WA and can be reached out via phone at 360-923-7000.

Location: 700 Lilly Rd Ne, Olympia, WA, 98506-5115
person
Provider Profile Details
NPI Number
1851351522
Provider Name
Craig Philip Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
700 Lilly Rd Ne, Olympia, WA, 98506-5115
Phone Number
360-923-7000
Fax Number
Provider Enumeration Date
03/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
700 Lilly Rd Ne
City
State
Zip
98506-5115
Phone Number
360-923-7000
Fax Number
person
Provider Business Mailing Address Details
Address
700 Lilly Rd Ne
City
State
Zip
98506-5115
Phone Number
360-923-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10003829 (Washington)
Definition
Definition to come...
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