BRIAN EDWARD WALLACE

PUYALLUP, WA
NPI1790017028
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: WA  MD 60120035)
Enumeration Date2010-02-11
Last Update Date2016-07-11
Business Address
Dr. BRIAN EDWARD WALLACE M.D.
400 E PIONEER AVE SUITE 101
PUYALLUP, WA 98372-3255
Phone number: 253-445-5828
Mailing Address
Dr. BRIAN EDWARD WALLACE M.D.
400 E PIONEER AVE SUITE 101
PUYALLUP, WA 98372-3255
Phone number: 253-445-5828
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