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1558310706
DAVID WALLACK
LAKEWOOD, CO
NPI
1558310706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CO 17055)
Enumeration Date
2006-05-08
Last Update Date
2013-03-05
Business Address
-- DAVID WALLACK M.D.
11700 W 2ND PL #4-450
LAKEWOOD, CO 80228-1704
Phone number: 303-825-1234
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Mailing Address
-- DAVID WALLACK M.D.
11700 W 2ND PL #4-450
LAKEWOOD, CO 80228-1704
Phone number: 303-825-1234
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