CALVIN P WALLACE

COVINGTON, WA
NPI1922026236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD00024602)
Enumeration Date2006-07-17
Last Update Date2010-09-10
Business Address
-- CALVIN P WALLACE MD
17700 SE 272ND ST
COVINGTON, WA 98042-4951
Phone number: 253-372-7128
Mailing Address
-- CALVIN P WALLACE MD
PO BOX 5299
TACOMA, WA 98415-0299
Phone number: 253-372-7128