MR. Brian David Wallace, MD

NPI #1831198811 in Franklin, Kentucky

Provider Information

NPI Number
1831198811
Entity Type
Individual
Name
MR. Brian David Wallace, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Radiology - Diagnostic Radiology
Credential
MD
Enumeration Date
Jul 20, 2005
Last Updated
Oct 28, 2015

Practice Location

Address
1100 BROOKHAVEN RD
ZIP Code
42134-2746
Phone
(317) 614-9849

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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