NPI 1003874124

Wallace B Carroll, MD

Practitioner Allergy Physician Modesto, CA

Practice location

Address: 600 Coffee Rd, Modesto, CA 95355-4201
Phone: (209) 524-1211

Registered specialties (2)

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence A31444 (CA)

Other Allergy & Immunology providers in California →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence A31444 (CA)

Other Pediatrics providers in California →

Registry record

NPI: 1003874124
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2006
Record last updated: 28 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.