CHARLES DOUGLAS WALLACE

SAN DIEGO, CA
NPI1144229600
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: CA  G67953)
Enumeration Date2005-07-18
Last Update Date2011-11-02
Business Address
Dr. CHARLES DOUGLAS WALLACE M.D.
3030 CHILDRENS WAY STE 410
SAN DIEGO, CA 92123-4232
Phone number: 858-966-6789
Mailing Address
Dr. CHARLES DOUGLAS WALLACE M.D.
3860 CALLE FORTUNADA STE #210
SAN DIEGO, CA 92123-4802
Phone number: 858-309-6303
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