NPI 1255867784

Matthew Malone Wallace, MD

Practitioner MOHS-Micrographic Surgery Physician Richmond, VA

Practice location

Address: 3829 Gaskins Rd STE a, Richmond, VA 23233-1437
Phone: (804) 282-8510

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 0101274476 (VA)

Other Dermatology providers in Virginia →

Registry record

NPI: 1255867784
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2017
Record last updated: 24 Sep 2025

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.