WALLACE UROLOGY INC

MEMPHIS, TN
NPI1316496664
Entity TypeOrganization
Authorized ContactCHARLES RUSSELL WALLACE
Medical Doctor
901-272-3200
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: TN  015359)
Enumeration Date2016-09-28
Last Update Date2016-09-28
Business Address
WALLACE UROLOGY INC
1325 EASTMORELAND AVE STE 425
MEMPHIS, TN 38104-7541
Phone number: 901-272-3200
Mailing Address
WALLACE UROLOGY INC
1325 EASTMORELAND AVE STE 425
MEMPHIS, TN 38104-7541
Phone number: 901-272-3200
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