CHRISTOPHER JACOB WALLACE

OCALA, FL
NPI1386393551
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WA  MD.MD.61629334)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-23
Last Update Date2025-04-09
Business Address
CHRISTOPHER JACOB WALLACE MD
1431 SW 1ST AVE
OCALA, FL 34471-6500
Phone number: 352-401-1417
Mailing Address
CHRISTOPHER JACOB WALLACE MD
1431 SW 1ST AVE
OCALA, FL 34471-6500
Phone number: