Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD AUSTIN WALLACE, MD
ActiveOtolaryngic Allergy · CHARLESTON, WV
Registration Details
- NPI Number
- 1013957034
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2006 (19.914652233551 yrs)
- Last Updated
- Dec 12, 2012
- License
-
WV11648 (WV)
Practice Information
- Address
-
1306 KANAWHA BLVD ECHARLESTON, WV, 253013001Browse WV providers · Browse ZIP 25301
- Phone
- 3043434371
- Fax
- 3043530215
- Primary Specialty
-
Otolaryngic Allergy
207YX0901X
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.