DAVID WARNER WALLACE

PHOENIX, AZ
NPI1700327061
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207LP3000X Anesthesiology, Pediatric Anesthesiology
(Licence: AZ  67086)
Additional Taxonomies207L00000X Anesthesiology
(Licence: CA  A158148)
Enumeration Date2017-03-19
Last Update Date2022-09-13
Business Address
DAVID WARNER WALLACE MD
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-0000
Mailing Address
DAVID WARNER WALLACE MD
2108 E THOMAS RD STE 130
PHOENIX, AZ 85016-7761
Phone number: 602-933-3124