James Christopher Wallace
NPI #1568664274 in San Diego, California
Provider Information
- NPI Number
- 1568664274
- Entity Type
- Individual
- Name
- James Christopher Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medical Technician, Basic
- Enumeration Date
- Jun 4, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- CGC CHASE (WHEC-718) FPO AP 96662-3932 32ND ST
- City
- San Diego
- State
- California
- ZIP Code
- 92106
- Phone
- (858) 776-7161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
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Organizations
| Provider Name | |
|---|---|
| Premier Surgical Assistants, Inc. | |
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