NOAH ISADORE WALLACE

FALLS CHURCH, VA
NPI1255713301
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0102205033)
Enumeration Date2015-06-25
Last Update Date2019-01-04
Business Address
Dr. NOAH ISADORE WALLACE D.O.
502 W BROAD ST STE 2
FALLS CHURCH, VA 22046-3206
Phone number: 571-421-8431
Mailing Address
Dr. NOAH ISADORE WALLACE D.O.
ANDREWS MALCOLM GROW FAMILY HEALTH CLINIC 11TH MEDICAL OPERATIONS SQUADRON
APO, AA 20762
Phone number:
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