Robert E Wallace
NPI #1316430176 in Weirton, West Virginia
Provider Information
- NPI Number
- 1316430176
- Entity Type
- Individual
- Name
- Robert E Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 7, 2018
- Last Updated
- Jun 7, 2018
Practice Location
- Address
- 283 OLD COLLIERS WAY
- City
- Weirton
- State
- West Virginia
- ZIP Code
- 26062-4073
- Phone
- (304) 780-6210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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