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1255383139
DAVID WALLIS
REDONDO BEACH, CA
NPI
1255383139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A77627)
Enumeration Date
2006-05-17
Last Update Date
2024-10-09
Business Address
DAVID WALLIS md
520 N PROSPECT AVE STE 309
REDONDO BEACH, CA 90277-3043
Phone number: 424-437-4700
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Mailing Address
DAVID WALLIS md
PO BOX 66657
SEATTLE, WA 98166-0657
Phone number: 424-437-4700
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