Roger Charles Wallace in Valencia - Emergency Medicine
Roger Charles Wallace - NPI 1083645501
Roger Charles Wallace is a Emergency Medicine in Valencia, California. Roger Charles Wallace practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Roger Charles Wallace is 1083645501. The last update date is 2008-07-07.
Roger Charles Wallace's current location address is 23845 Mcbean Pkwy, Valencia, California. You can contact this provider via phone number 6612538112 and fax number 6612538119. The mailing address for Roger Charles Wallace is 23845 Mcbean Pkwy, Valencia, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Charles Wallace |
|---|---|
| Address | 23845 Mcbean Pkwy, Valencia, California |
| Phone Number | 6612538112 |
| Fax Number | 6612538119 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083645501 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2008-07-07 |
Provider Mailing Address Detail
| Address | 23845 Mcbean Pkwy |
|---|---|
| City | Valencia |
| State | California (CA) |
| Post Code | 913552001 |
| Phone Number | 6612538112 |
| Fax Number | 6612538119 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | A71306 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A713060 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Roger Charles Wallace by the Centers for Medicare & Medicaid Services?
The Roger Charles Wallace has been assigned the NPI (National Provider Identifier) 1083645501 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Roger Charles Wallace?
The Roger Charles Wallace is physically situated at 23845 Mcbean Pkwy, in the city of Valencia, state of CA, with the postal code 913552001.
What is Roger Charles Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Roger Charles Wallace's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083645501 to Roger Charles Wallace?
The Centers for Medicare & Medicaid Services assigned the 1083645501 to Roger Charles Wallace on 2006-07-05.
When was the information pertaining to Roger Charles Wallace most recently updated or revised?
The details related to Roger Charles Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-07.