WILLIAM C WALLACE

PORTSMOUTH, VA
NPI1447353784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OS009890L)
Enumeration Date2006-09-05
Last Update Date2007-07-08
Business Address
-- WILLIAM C WALLACE DO
620 JOHN PAUL JONES CIRCLE NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Phone number: 757-953-7550
Mailing Address
-- WILLIAM C WALLACE DO
620 JOHN PAUL JONES CIRCLE NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Phone number: 757-953-7550
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