TIMOTHY J WALLACE

RICHMOND, VA
NPI1033328703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: VA  0101242596)
Additional Taxonomies208800000X Urology
(Licence: VA  0101242596)
Enumeration Date2007-05-21
Last Update Date2019-03-26
Business Address
TIMOTHY J WALLACE MD
401 COLLEGE ST
RICHMOND, VA 23298-5017
Phone number: 804-828-7232
Mailing Address
TIMOTHY J WALLACE MD
PO BOX 91734
RICHMOND, VA 23291-1734
Phone number: 804-358-6100
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