PATRICIA A WALLACE

MISSION VIEJO, CA
NPI1629162995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery
(Licence: CA  A73003)
Additional Taxonomies174400000X Specialist
(Licence: CA  A73003)
Enumeration Date2006-10-03
Last Update Date2014-08-19
Business Address
-- PATRICIA A WALLACE MD
26732 CROWN VALLEY PKWY SUITE 327
MISSION VIEJO, CA 92691-6306
Phone number: 949-364-4400
Mailing Address
-- PATRICIA A WALLACE MD
26732 CROWN VALLEY PKWY SUITE 327
MISSION VIEJO, CA 92691-6306
Phone number: 949-364-4400