ERIC WALLACE

VENTURA, CA
NPI1578502191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  A85195)
Enumeration Date2006-06-06
Last Update Date2017-11-14
Business Address
-- ERIC WALLACE MD
168 N BRENT ST SUITE 402
VENTURA, CA 93003-2817
Phone number: 888-234-0004
Mailing Address
-- ERIC WALLACE MD
4100 GUARDIAN ST STE 205
SIMI VALLEY, CA 93063-6721
Phone number: 855-504-4544
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