NPI 1144331513

William W Wallace, MD

Practitioner Allergy Physician San Diego, CA

Practice location

Address: 8933 Activity Rd, San Diego, CA 92126-4427
Phone: (858) 653-6170

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence G17502 (CA)

Other Allergy & Immunology providers in California →

Registry record

NPI: 1144331513
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2006
Record last updated: 8 Jul 2007

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.