Thomas Mark Wallace in Dayton - Cytopathology
Thomas Mark Wallace - NPI 1114912011
Thomas Mark Wallace is a Cytopathology in Dayton, Ohio. Thomas Mark Wallace practices all healthcare services and medical treatments related to Cytopathology. The NPI Number for Thomas Mark Wallace is 1114912011. The last update date is 2023-12-02.
Thomas Mark Wallace's current location address is 1 Wyoming St, Dayton, Ohio. You can contact this provider via phone number 9372082978 and fax number 9372086137. The mailing address for Thomas Mark Wallace is 1 Wyoming St, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Mark Wallace |
|---|---|
| Address | 1 Wyoming St, Dayton, Ohio |
| Phone Number | 9372082978 |
| Fax Number | 9372086137 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114912011 |
|---|---|
| Provider Enumeration Date | 2005-09-16 |
| Last Updated Date | 2023-12-02 |
Provider Mailing Address Detail
| Address | 1 Wyoming St |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 454092722 |
| Phone Number | 9372082978 |
| Fax Number | 9372086137 |
Provider's Primary Taxonomy Detail
| Speciality | Cytopathology |
|---|---|
| Taxonomy | 207Zc0500X |
| Licence No | 35.061202 |
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Definition: A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 828939 | OH | -- |
Post Comment/ Review Below
What is the Thomas Mark Wallace's 1114912011?
The Thomas Mark Wallace's NPI (National Provider Identifier) Number is 1114912011. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Thomas Mark Wallace?
The Thomas Mark Wallace is situated at 1 Wyoming St, in the city of Dayton, state of OH, with the zip code 454092722.
What is Thomas Mark Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas Mark Wallace's area of specialization is Cytopathology, and the corresponding taxonomy code that categorizes this field of practice is 207Zc0500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114912011 to Thomas Mark Wallace?
The Centers for Medicare & Medicaid Services assigned the 1114912011 to Thomas Mark Wallace on 2005-09-16.
As of what date were the details related to Thomas Mark Wallace most recently updated or revised?
The information pertaining to Thomas Mark Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2023-12-02.