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1104850957
JOSEPH CLAUDE WALLACE
TUSCALOOSA, AL
NPI
1104850957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: AL 10987)
Enumeration Date
2006-07-10
Last Update Date
2019-05-09
Business Address
JOSEPH CLAUDE WALLACE M.D.
1031 FAIRFAX PARK
TUSCALOOSA, AL 35406-2807
Phone number: 205-345-2211
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Mailing Address
JOSEPH CLAUDE WALLACE M.D.
1031 FAIRFAX PARK
TUSCALOOSA, AL 35406-2807
Phone number: 205-345-2211
Copy
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