William Campbell Wallace M.D.

NPI 1528088960 - Surgery - 208600000X

NPI Details
NPI 1528088960
Gender Male
Enumeration Date 07/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
24411 HEALTH CENTER DR
SUITE 350
LAGUNA HILLS CA, 92653-3651, US
Phone (949) 457-7900
Fax (949) 588-8719
Business Location
24411 HEALTH CENTER DR
SUITE 350
LAGUNA HILLS CA, 92653-3651, US
Phone (949) 457-7900
Fax (949) 588-8719
Toxanomy
Taxonomy Code 208600000X
License State California
License Number A66100
Remove 1528088960 NPI Number
 

According to our database, Dr. William Campbell Wallace M.D. NPI is 1528088960, taxonomy code is 208600000X and license number is A66100, license state is located at California. William Campbell Wallace M.D. physically located at 24411 Health Center Dr, Laguna Hills CA, 92653-3651. NPI Number William Campbell Wallace M.D. has the Individual type.

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1528088960 NPI number is provided on an as is basis without warranty of any kind. 1528088960 is maintained by the National Plan & Provider Enumeration System. The contents of William Campbell Wallace M.D. are for informational purposes only.