Brian David Wallace in Indianapolis - Diagnostic Radiology
Brian David Wallace - NPI 1831198811
Brian David Wallace is a Diagnostic Radiology in Indianapolis, Indiana. Brian David Wallace practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Brian David Wallace is 1831198811. The last update date is 2015-10-28.
Brian David Wallace's current location address is Po Box 3179, Indianapolis, Indiana. You can contact this provider via phone number 3176149849 and fax number 3174281044. The mailing address for Brian David Wallace is Po Box 3179, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian David Wallace |
|---|---|
| Address | Po Box 3179, Indianapolis, Indiana |
| Phone Number | 3176149849 |
| Fax Number | 3174281044 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1831198811 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2015-10-28 |
Provider Mailing Address Detail
| Address | Po Box 3179 |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462063179 |
| Phone Number | 3176149849 |
| Fax Number | 3174281044 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 39483 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64113905 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brian David Wallace by the Centers for Medicare & Medicaid Services?
The Brian David Wallace has been issued the NPI (National Provider Identifier) 1831198811 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Brian David Wallace is located?
The Brian David Wallace is situated at the following address: Po Box 3179, Indianapolis, IN, 462063179.
What is Brian David Wallace's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brian David Wallace's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
What is Brian David Wallace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian David Wallace is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date did Brian David Wallace receive its 1831198811 assignment from the Centers for Medicare & Medicaid Services?
The Brian David Wallace was assigned its 1831198811 on 2005-07-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.