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1316496664
WALLACE UROLOGY INC
MEMPHIS, TN
NPI
1316496664
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Entity Type
Organization
Authorized Contact
CHARLES RUSSELL WALLACE
Medical Doctor
901-272-3200
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
(Licence: TN 015359)
Enumeration Date
2016-09-28
Last Update Date
2016-09-28
Business Address
WALLACE UROLOGY INC
1325 EASTMORELAND AVE STE 425
MEMPHIS, TN 38104-7541
Phone number: 901-272-3200
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Mailing Address
WALLACE UROLOGY INC
1325 EASTMORELAND AVE STE 425
MEMPHIS, TN 38104-7541
Phone number: 901-272-3200
Copy
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