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1841299146
MARC A WALLACE
PITTSBURGH, PA
NPI
1841299146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: PA OS00848L)
Enumeration Date
2005-07-19
Last Update Date
2012-02-09
Business Address
-- MARC A WALLACE DO
320 E NORTH AVE
PITTSBURGH, PA 15212-4756
Phone number: 412-359-4113
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Mailing Address
-- MARC A WALLACE DO
326 MAPLE AVE
PITTSBURGH, PA 15218-1591
Phone number: 412-242-5396
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