Dustin Mark Wallace M.D.

NPI 1679705214 - Internal Medicine - 207R00000X

NPI Details
NPI 1679705214
Gender Male
Enumeration Date 08/16/2009
Last Updated 03/05/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
1307 FEDERAL ST
SUITE B300
PITTSBURGH PA, 15212-4769, US
Phone (412) 359-3751
Fax (412) 359-8439
Business Location
1307 FEDERAL ST
SUITE B300
PITTSBURGH PA, 15212-4769, US
Phone (412) 359-3751
Fax (412) 359-8439
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MD438369
Remove 1679705214 NPI Number
 

According to our database, Dr. Dustin Mark Wallace M.D. NPI is 1679705214, taxonomy code is 207R00000X and license number is MD438369, license state is located at Pennsylvania. Dustin Mark Wallace M.D. physically located at 1307 Federal St, Pittsburgh PA, 15212-4769. NPI Number Dustin Mark Wallace M.D. has the Individual type.

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1679705214 NPI number is provided on an as is basis without warranty of any kind. 1679705214 is maintained by the National Plan & Provider Enumeration System. The contents of Dustin Mark Wallace M.D. are for informational purposes only.