TODD A WALLACE

DURHAM, NC
NPI1073540209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  102437)
Enumeration Date2006-06-26
Last Update Date2016-02-17
Business Address
-- TODD A WALLACE PA-C
3643 N ROXBORO ST
DURHAM, NC 27704-2702
Phone number: 919-470-4000
Mailing Address
-- TODD A WALLACE PA-C
611 GRAVEL BROOK CT
CARY, NC 27519-6009
Phone number: 262-883-4133
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