DR. Charles Douglas Wallace, M.D.
NPI #1144229600 in San Diego, California
Provider Information
- NPI Number
- 1144229600
- Entity Type
- Individual
- Name
- DR. Charles Douglas Wallace, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Orthopaedic Surgery
- Credential
- M.D.
- Enumeration Date
- Jul 18, 2005
- Last Updated
- Nov 2, 2011
Practice Location
- Address
- 3030 CHILDRENS WAY
- Address 2
- STE 410
- City
- San Diego
- State
- California
- ZIP Code
- 92123-4232
- Phone
- (858) 966-6789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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