Mark D Wallace, M.D.
NPI #1689690091 in Redding, California
Provider Information
- NPI Number
- 1689690091
- Entity Type
- Individual
- Name
- Mark D Wallace, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- M.D.
- Enumeration Date
- Jul 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2020 COURT ST
- City
- Redding
- State
- California
- ZIP Code
- 96001-1822
- Phone
- (530) 243-1236
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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