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1700317898
ADAM BRYAN WALLACE
STANFORD, CA
NPI
1700317898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: CA A161405)
Enumeration Date
2017-03-21
Last Update Date
2024-08-05
Business Address
ADAM BRYAN WALLACE MD
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone number: 650-723-4000
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Mailing Address
ADAM BRYAN WALLACE MD
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone number: 650-723-4000
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