DR. Richard Austin Wallace, MD
NPI #1013957034 in Charleston, West Virginia
Provider Information
- NPI Number
- 1013957034
- Entity Type
- Individual
- Name
- DR. Richard Austin Wallace, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Otolaryngology - Otology & Neurotology
- Credential
- MD
- Enumeration Date
- Jun 7, 2006
- Last Updated
- Dec 12, 2012
Practice Location
- Address
- 1306 KANAWHA BLVD E
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25301-3001
- Phone
- (304) 343-4371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology - Otology & Neurotology — Otology & Neurotology |
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