NPI 1952591828
Mark Allen Wallace, DO
Practice location
- Address
- 15 Anchor Dr STE 102, Rockport, ME 04856-3847
- Phone
- (207) 301-3660
- Fax
- (207) 301-5160
Registered specialties (3)
Otolaryngology/Facial Plastic Surgery Physician
Primary
Otolaryngology/Facial Plastic Surgery Physician
Otolaryngology Physician
Registry record
- NPI
- 1952591828
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Jul 2007
- Record last updated
- 29 Jan 2026
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.