Robert C Wallace in Phoenix - Neuroradiology

Robert C Wallace - NPI 1386619831

Robert C Wallace is a Neuroradiology in Phoenix, Arizona. Robert C Wallace practices all healthcare services and medical treatments related to Neuroradiology. The NPI Number for Robert C Wallace is 1386619831. The last update date is 2007-11-30.

Robert C Wallace's current location address is Po Box 27340, Phoenix, Arizona. You can contact this provider via phone number 6029439200 and fax number 6022163000. The mailing address for Robert C Wallace is Po Box 27340, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert C Wallace
Address Po Box 27340, Phoenix, Arizona
Phone Number 6029439200
Fax Number 6022163000
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1386619831
Provider Enumeration Date 2006-02-20
Last Updated Date 2007-11-30

Provider Mailing Address Detail

Address Po Box 27340
City Phoenix
State Arizona (AZ)
Post Code 850617340
Phone Number 6029439200
Fax Number 6022163000

Provider's Primary Taxonomy Detail

Speciality Neuroradiology
Taxonomy 2085N0700X
Licence No 22535
Definition:
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
AZ0835370 AZ BCBSAZ
XPY191790 AZ MEDI-CAL MEDICAID
1Z7046 AZ HEALTH NET OF AZ
404369 AZ --

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FAQs about Robert C Wallace

What is the unique identifier code issued to Robert C Wallace by the Centers for Medicare & Medicaid Services?

The Robert C Wallace has been assigned the NPI (National Provider Identifier) 1386619831. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

What is the unique 10-digit identifier code issued to Robert C Wallace by the Centers for Medicare & Medicaid Services?

The Robert C Wallace has been assigned the NPI (National Provider Identifier) 1386619831 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Robert C Wallace's facilities are situated?

The facilities of Robert C Wallace are physically located at the following address: Po Box 27340, Phoenix, AZ, 850617340.

On what date was the 1386619831 assigned to Robert C Wallace?

The Robert C Wallace was issued its 1386619831 on 2006-02-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Robert C Wallace receive the assignment of its 1386619831 from the Centers for Medicare & Medicaid Services?

The Robert C Wallace was issued its 1386619831 by the Centers for Medicare & Medicaid Services on 2006-02-20.

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