GRANT CHARLES WALLACE

OCEANSIDE, CA
NPI1043208101
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  G80310)
Enumeration Date2005-10-12
Last Update Date2023-09-25
Business Address
Dr. GRANT CHARLES WALLACE M.D.
200 MERCY CIRCLE
OCEANSIDE, CA 92055
Phone number: 760-719-3479
Mailing Address
Dr. GRANT CHARLES WALLACE M.D.
200 MERCY CIRCLE
OCENSIDE, CA 92055
Phone number: 760-719-3479
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