Mark R. Wallace, MD
NPI #1982683603 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1982683603
- Entity Type
- Individual
- Name
- Mark R. Wallace, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Infectious Disease
- Credential
- MD
- Enumeration Date
- Jan 11, 2006
- Last Updated
- Feb 28, 2017
Practice Location
- Address
- 1400 E KINCAID ST
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98274-4127
- Phone
- (360) 848-4150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Infectious Disease — Infectious Disease |
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