Steven Earl Wallace in Quincy - Art, Medical
Steven Earl Wallace - NPI 1457515587
Steven Earl Wallace is a Art, Medical in Quincy, California. Steven Earl Wallace practices all healthcare services and medical treatments related to Art, Medical. The NPI Number for Steven Earl Wallace is 1457515587. The last update date is 2008-07-17.
Steven Earl Wallace's current location address is 1065 Bucks Lake Rd, Quincy, California. You can contact this provider via phone number 5302837155 and fax number 5302831838. The mailing address for Steven Earl Wallace is 1065 Bucks Lake Rd, Quincy, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Earl Wallace |
|---|---|
| Address | 1065 Bucks Lake Rd, Quincy, California |
| Phone Number | 5302837155 |
| Fax Number | 5302831838 |
| Sole Proprietor | Y |
| Credentials | RPA |
NPI Number Detail
| NPI Number | 1457515587 |
|---|---|
| Provider Enumeration Date | 2008-07-17 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | 1065 Bucks Lake Rd |
|---|---|
| City | Quincy |
| State | California (CA) |
| Post Code | 959719507 |
| Phone Number | 5302837155 |
| Fax Number | 5302831838 |
Provider's Primary Taxonomy Detail
| Speciality | Art, Medical |
|---|---|
| Taxonomy | 246Za2600X |
| Licence No | 243U00000X |
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What is the unique identification code assigned to Steven Earl Wallace by the Centers for Medicare & Medicaid Services?
The Steven Earl Wallace has been issued the NPI (National Provider Identifier) 1457515587. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Steven Earl Wallace?
The Steven Earl Wallace is situated at 1065 Bucks Lake Rd, in the city of Quincy, state of CA, with the zip code 959719507.
What is Steven Earl Wallace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Steven Earl Wallace is Art, Medical, and the taxonomy code that categorizes this field of expertise is 246Za2600X.
When did the Steven Earl Wallace receive its 1457515587?
The Steven Earl Wallace was issued its 1457515587 on 2008-07-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Steven Earl Wallace most recently updated or revised?
The information pertaining to Steven Earl Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-17.
NPI Number: 1902809924
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