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
- City
- Beverly Hills
- State
- California
- ZIP Code
- 90211-2007
- Phone
- (310) 652-8460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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