Theodore William Wallace in Tacoma - Physician Assistant
Theodore William Wallace - NPI 1609931393
Theodore William Wallace is a Physician Assistant in Tacoma, Washington. Theodore William Wallace practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Theodore William Wallace is 1609931393. The last update date is 2007-07-08.
Theodore William Wallace's current location address is Madigan Army Medical Ctr, Tacoma, Washington. You can contact this provider via phone number 2539685161. The mailing address for Theodore William Wallace is Madigan Army Medical Ctr, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore William Wallace |
|---|---|
| Address | Madigan Army Medical Ctr, Tacoma, Washington |
| Phone Number | 2539685161 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1609931393 |
|---|---|
| Provider Enumeration Date | 2006-12-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Madigan Army Medical Ctr |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984310001 |
| Phone Number | 2539685161 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA100003556 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Theodore William Wallace?
The Theodore William Wallace has been issued the NPI (National Provider Identifier) 1609931393 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Theodore William Wallace?
The Theodore William Wallace is physically situated at Madigan Army Medical Ctr, in the city of Tacoma, state of WA, with the postal code 984310001.
What is Theodore William Wallace's area of expertise and its corresponding taxonomy classification?
The Theodore William Wallace's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the Theodore William Wallace's 1609931393 issued?
The Theodore William Wallace's 1609931393 was issued on 2006-12-25.
When was the Theodore William Wallace's information last updated?
The Theodore William Wallace's information was last updated on 2007-07-08.