Whalio Doctors

NPI 1114986551

Steven F. Wallace, MDPHD

Practitioner Pediatrics Physician Bellingham, WA

Practice location

Address
4545 Cordata Pkwy, Bellingham, WA 98226-7123
Phone
(360) 738-2200
Fax
(360) 752-5679
Mailing address
PO Box 5096, Bellingham, WA 98227-5096

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MD00030069 (WA)

Registry record

NPI
1114986551
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Mar 2006
Record last updated
19 Nov 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.