AUSTIN H WALLACE

BATON ROUGE, LA
NPI1952864308
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  312099)
Enumeration Date2019-04-12
Last Update Date2019-04-12
Business Address
AUSTIN H WALLACE PA
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810-7827
Phone number: 225-924-2424
Mailing Address
AUSTIN H WALLACE PA
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810-7827
Phone number: 225-924-2424
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