MR. Theodore William Wallace PA-C

  • NPI 1609931393
According to our database, the NPI number for MR. Theodore William Wallace PA-C is 1609931393 and activated since 17 years ago. MR. Theodore William Wallace PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is Madigan Army Medical Ctr, Tacoma, WA 98431. You can also contact MR. Theodore William Wallace PA-C via telephone number is (253) 968-5161. Provider NPI information was last updated on 07/08/2007.

Recently Active NPIs

Overview of MR. Theodore William Wallace PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/25/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA100003556
  • License State: WA

Provider Mailing Address

  • Address: 6317 63rd St W
    University Place, WA 98467
  • Phone:
  • Fax:

Provider Practice Location

  • Address: Madigan Army Medical Ctr
    9040a Fitzsimmons Dr
    Tacoma, WA 98431
  • Phone: 253-968-5161
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA10000355
  • License State: WA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Theodore William Wallace PA-C?
  • A: The npi number for MR. Theodore William Wallace PA-C is 1609931393.
  • Q: What are MR. Theodore William Wallace PA-C's specialties?
  • A: MR. Theodore William Wallace PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for MR. Theodore William Wallace PA-C?
  • A: The medical license number for MR. Theodore William Wallace PA-C is PA100003556 and issued in WA in USA.
  • Q: Where is MR. Theodore William Wallace PA-C practice location?
  • A: MR. Theodore William Wallace PA-C is practicing at Madigan Army Medical Ctr, Tacoma, WA 98431.
  • Q: How to contact MR. Theodore William Wallace PA-C?
  • A: You can contact MR. Theodore William Wallace PA-C via 253-968-5161.