NPI 1164447215

Christopher Alan Wallace, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Farmington, CT

Practice location

Address: 270 Farmington Avenue Suite 332, Farmington, CT 06089
Phone: (888) 276-2223
Fax: (972) 767-0225
Mailing address: PO Box 840294, Dallas, TX 75284-0294

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 041939 (CT)

Other Pathology providers in Connecticut →

Dermatopathology (Pathology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZD0900X Licence 041939 (CT)

Registry record

NPI: 1164447215
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2006
Record last updated: 26 Nov 2013

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.