NPI 1023079803 JOHN T WALLACE MD FORT BRAGG CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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John T Wallace - NPI: 1023079803

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JOHN T WALLACE
NPI Number: 1023079803
Entity Type Code: Individual (1)
Gender: M
Credentials: MD
License Number: G37773
Business Practice Address: 205 South St
Fort Bragg, CA - 954375540
Business Phone Number: 7079641251
Business Fax Number: 7079612722
Mailing Address: 205 South St,
FORT BRAGG
State: CA
Postal Code: 954375540
Phone Number: 7079641251
Fax Number: 7079612722
NPI Enumeration Date: 03/31/2006
NPI Last Update Date: 12/22/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207R00000X
License Number: G37773
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Internal Medicine
Taxonomy Specialization:
Taxonomy Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


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