Wilson King Wallace MD

NPI 1598754053 - Ophthalmology - 207W00000X

NPI Details
NPI 1598754053
Gender Male
Enumeration Date 10/18/2005
Last Updated 04/14/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
2750 INDIAN RIVER BLVD
VERO BEACH FL, 32960-5225, US
Phone (772) 569-9500
Fax (772) 569-9507
Business Location
2750 INDIAN RIVER BLVD
VERO BEACH FL, 32960-5225, US
Phone (772) 569-9500
Fax (772) 569-9507
Toxanomy
Taxonomy Code 207W00000X
License State Florida
License Number ME18644
Remove 1598754053 NPI Number
 

According to our database, Dr. Wilson King Wallace MD NPI is 1598754053, taxonomy code is 207W00000X and license number is ME18644, license state is located at Florida. Wilson King Wallace MD physically located at 2750 Indian River Blvd, Vero Beach FL, 32960-5225. NPI Number Wilson King Wallace MD has the Individual type.

Sponsored links

1598754053 NPI number is provided on an as is basis without warranty of any kind. 1598754053 is maintained by the National Plan & Provider Enumeration System. The contents of Wilson King Wallace MD are for informational purposes only.