DR. John K Wallace, MD

NPI #1992735302 in Dothan, Alabama

Provider Information

NPI Number: 1992735302
Entity Type: Individual
Name: DR. John K Wallace, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jul 3, 2006
Last Updated: Mar 22, 2010

Practice Location

Address: 2664 HARTFORD HWY
City: Dothan
State: Alabama
ZIP Code: 36305-4904
Phone: (334) 699-2244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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