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1144229600
CHARLES DOUGLAS WALLACE
SAN DIEGO, CA
NPI
1144229600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: CA G67953)
Enumeration Date
2005-07-18
Last Update Date
2011-11-02
Business Address
Dr. CHARLES DOUGLAS WALLACE M.D.
3030 CHILDRENS WAY STE 410
SAN DIEGO, CA 92123-4232
Phone number: 858-966-6789
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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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