RICHARD AUSTIN WALLACE

CHARLESTON, WV
NPI1013957034
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207YX0901X Otolaryngology, Otology & Neurotology
(Licence: WV  WV11648)
Enumeration Date2006-06-07
Last Update Date2012-12-12
Business Address
Dr. RICHARD AUSTIN WALLACE MD
1306 KANAWHA BLVD E
CHARLESTON, WV 25301-3001
Phone number: 304-343-4371
Mailing Address
Dr. RICHARD AUSTIN WALLACE MD
1306 KANAWHA BLVD E
CHARLESTON, WV 25301-3001
Phone number: 304-343-4371
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