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1306861851
RICHARD B WALLACE
MOBILE, AL
NPI
1306861851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 014847)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
Dr. RICHARD B WALLACE MD
1504 SPRING HILL AVE
MOBILE, AL 36604-3207
Phone number: 251-219-3900
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Mailing Address
Dr. RICHARD B WALLACE MD
75 GENERAL CANBY DR
SPANISH FORT, AL 36527-8005
Phone number: 251-625-6226
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