MARC A WALLACE

JOHNSTOWN, PA
NPI1841299146
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: PA  OS00848L)
Enumeration Date2005-07-19
Last Update Date2025-09-05
Business Address
-- MARC A WALLACE DO
138 PLATT DR
JOHNSTOWN, PA 15904-4305
Phone number: 412-478-6416
Mailing Address
-- MARC A WALLACE DO
138 PLATT DR
JOHNSTOWN, PA 15904-4305
Phone number: 412-478-6416