DR. Diana Renee Wallace, MD

NPI #1710993845 in Rome, New York

Provider Information

NPI Number: 1710993845
Entity Type: Individual
Name: DR. Diana Renee Wallace, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: MD
Enumeration Date: Jul 31, 2006
Last Updated: Nov 5, 2015

Practice Location

Address: 7900 TURIN ROAD
Address 2: BUILDING 4, SUITE 2
City: Rome
State: New York
ZIP Code: 13440-7423
Phone: (315) 338-7284

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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