DR. Paul Wesley Wallace, MD

NPI #1063494474 in Beverly Hills, California

Provider Information

NPI Number
1063494474
Entity Type
Individual
Name
DR. Paul Wesley Wallace, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dermatology
Credential
MD
Enumeration Date
Nov 19, 2005
Last Updated
Oct 16, 2007

Practice Location

Address
8920 WILSHIRE BLVD
Address 2
SUITE 327
ZIP Code
90211-2007
Phone
(310) 652-8460

Specialties & Taxonomy Codes

Specialty
Dermatology

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