MARK D WALLACE

REDDING, CA
NPI1689690091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  G31736)
Enumeration Date2006-07-15
Last Update Date2007-07-08
Business Address
-- MARK D WALLACE M.D.
2020 COURT ST
REDDING, CA 96001-1822
Phone number: 530-243-1236
Mailing Address
-- MARK D WALLACE M.D.
PO BOX 492080
REDDING, CA 96049-2080
Phone number: 530-241-0473
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