WALLACE BLAKE MCKINNEY

SACRAMENTO, CA
NPI1174790224
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  A105593)
Enumeration Date2008-05-08
Last Update Date2008-09-24
Business Address
-- WALLACE BLAKE MCKINNEY M.D.
4150 V ST PSSB 2100
SACRAMENTO, CA 95817-1460
Phone number: 916-734-8571
Mailing Address
-- WALLACE BLAKE MCKINNEY M.D.
4150 V ST PSSB 2100
SACRAMENTO, CA 95817-1460
Phone number: 916-734-8571
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