EDWARD WALLACE

GLENDALE, AZ
NPI1659303758
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: AZ  30182)
Enumeration Date2006-07-07
Last Update Date2007-10-18
Business Address
Dr. EDWARD WALLACE M.D.
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306-4622
Phone number: 602-588-5555
Mailing Address
Dr. EDWARD WALLACE M.D.
2000 SPRING RD STE 200
OAK BROOK, IL 60523-1956
Phone number: 630-472-8800
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