Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE B CARROLL, MD
ActiveWALLACE B CARROLL, MD is a Allergy healthcare provider located in MODESTO, California. NPI 1003874124 is currently active in the NPPES registry. Verify at CMS.
Allergy · MODESTO, CA
Registration Details
- NPI Number
- 1003874124
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2006 (20.286456112081 yrs)
- Last Updated
- May 28, 2010
- Licenses
-
A31444 (CA)A31444 (CA)
Practice Information
- Address
-
600 COFFEE RDMODESTO, CA, 953554201Browse CA providers · Browse ZIP 95355
- Phone
- 2095241211
- Primary Specialty
-
Allergy
207KA0200X
- Additional Specialty
- Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.