Robert Vernon Wallace, M. D.
NPI #1922113174 in Lehigh Acres, Florida
Provider Information
- NPI Number
- 1922113174
- Entity Type
- Individual
- Name
- Robert Vernon Wallace, M. D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M. D.
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 400 LEE BLVD
- City
- Lehigh Acres
- State
- Florida
- ZIP Code
- 33936-4923
- Phone
- (239) 369-2903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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