NPI 1013957034

Richard Austin Wallace, MD

Practitioner Otology & Neurotology Physician Charleston, WV

Practice location

Address: 1306 Kanawha Blvd E, Charleston, WV 25301-3001
Phone: (304) 343-4371
Fax: (304) 353-0215

Registered specialties

Otology & Neurotology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0901X Licence WV11648 (WV)

Other Otolaryngology providers in West Virginia →

Registry record

NPI: 1013957034
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2006
Record last updated: 12 Dec 2012

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.