DR. Robert Bruce Wallace III, M.D.

NPI #1598792293 in Alexandria, Louisiana

Provider Information

NPI Number: 1598792293
Entity Type: Individual
Name: DR. Robert Bruce Wallace III, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Jun 27, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 4110 PARLIAMENT DR
City: Alexandria
State: Louisiana
ZIP Code: 71303-2717
Phone: (318) 448-4488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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