LOGAN GRACE GARY WALLACE

NORFOLK, VA
NPI1528802659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: VA  0116042630)
Enumeration Date2024-06-24
Last Update Date2026-08-27
Business Address
LOGAN GRACE GARY WALLACE MD
825 FAIRFAX AVE
NORFOLK, VA 23507-1912
Phone number: 757-446-8910
Mailing Address
LOGAN GRACE GARY WALLACE MD
825 FAIRFAX AVE
NORFOLK, VA 23507-1912
Phone number: 757-446-8910
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