William Arthur Wallace in Fleming Island - Plastic And Reconstructive Surgery

William Arthur Wallace - NPI 1184842627

William Arthur Wallace is a Plastic And Reconstructive Surgery in Fleming Island, Florida. William Arthur Wallace practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for William Arthur Wallace is 1184842627. The last update date is 2015-11-01.

William Arthur Wallace's current location address is 1679 Eagle Harbor Pkwy, Fleming Island, Florida. You can contact this provider via phone number 9043480727 and fax number 9046219272. The mailing address for William Arthur Wallace is 1679 Eagle Harbor Pkwy, Fleming Island, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name William Arthur Wallace
Address 1679 Eagle Harbor Pkwy, Fleming Island, Florida
Phone Number 9043480727
Fax Number 9046219272
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1184842627
Provider Enumeration Date 2007-04-22
Last Updated Date 2015-11-01

Provider Mailing Address Detail

Address 1679 Eagle Harbor Pkwy
City Fleming Island
State Florida (FL)
Post Code 320034815
Phone Number 9043480727
Fax Number 9046219272

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Licence No ME107749
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

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FAQs about William Arthur Wallace

What is the unique 10-digit identifier code assigned to William Arthur Wallace by the Centers for Medicare & Medicaid Services?

The William Arthur Wallace has been issued the NPI (National Provider Identifier) 1184842627 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of William Arthur Wallace?

The William Arthur Wallace is situated at 1679 Eagle Harbor Pkwy, in the city of Fleming Island, state of FL, with the zip code 320034815.

What is William Arthur Wallace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for William Arthur Wallace is Plastic And Reconstructive Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0122X.

On what date did the William Arthur Wallace receive its 1184842627 assignment from the Centers for Medicare & Medicaid Services?

The William Arthur Wallace was assigned its 1184842627 by the Centers for Medicare & Medicaid Services on 2007-04-22.

When was the information related to William Arthur Wallace most recently updated or refreshed?

The details pertaining to the William Arthur Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-11-01.

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