CRAIG PHILIP WALLACE

OLYMPIA, WA
NPI1851351522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: WA  PA10003829)
Enumeration Date2006-03-25
Last Update Date2021-05-10
Business Address
MR. CRAIG PHILIP WALLACE PA-C
700 LILLY RD NE
OLYMPIA, WA 98506-5115
Phone number: 360-923-7000
Mailing Address
MR. CRAIG PHILIP WALLACE PA-C
700 LILLY RD NE
OLYMPIA, WA 98506-5115
Phone number: 360-923-7000