Wallace Physician Services LLC
NPI #1144527870 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1144527870
- Entity Type
- Organization
- Organization Name
- Wallace Physician Services LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Feb 15, 2011
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1577 GOODMAN AVE STE A
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45224-1044
- Phone
- (513) 403-3762
Authorized Official
- Name
- MR. WAYMON L WALLACE, M.D.
- Title
- PRESIDENT
- Phone
- (513) 674-9601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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