Wallace Anesthesia Services PC
NPI #1528000874 in Redmond, Oregon
Provider Information
- NPI Number
- 1528000874
- Entity Type
- Organization
- Organization Name
- Wallace Anesthesia Services PC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- GERALD ADRIAN WALLACE, CRNA
- Title
- PRESIDENT
- Phone
- (503) 372-2740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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