Ellen Wallace, MD

NPI #1427685734 in Albany, California

Provider Information

NPI Number: 1427685734
Entity Type: Individual
Name: Ellen Wallace, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 25, 2020
Last Updated: Feb 6, 2024

Practice Location

Address: 500 SAN PABLO AVE
City: Albany
State: California
ZIP Code: 94706-1103
Phone: (510) 204-8130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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