BRIAN ROBERT WALLACE

NAPLES, FL
NPI1518118462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: FL  OS12629)
Enumeration Date2008-10-08
Last Update Date2019-06-24
Business Address
BRIAN ROBERT WALLACE D.O.
1250 PINE RIDGE RD SUITE 203
NAPLES, FL 34108-8913
Phone number: 236-261-2663
Mailing Address
BRIAN ROBERT WALLACE D.O.
3466 PINE RIDGE RD STE A
NAPLES, FL 34109-3883
Phone number: 239-261-2663
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