NPI 1023075637

Robert D Wallace, MD

Practitioner Plastic and Reconstructive Surgery Physician Memphis, TN

Practice location

Address: 1068 Cresthaven Rd STE 500, Memphis, TN 38119
Phone: (901) 866-8525
Mailing address: 1407 Union Ave STE 700, Memphis, TN 38104-3641

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 27658 (TN)

Other Surgery providers in Tennessee →

Registry record

NPI: 1023075637
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Apr 2006
Record last updated: 1 Feb 2019

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.