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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICHARD AUSTIN WALLACE, MD

Active

Otolaryngic 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 E
CHARLESTON, WV, 253013001
Browse 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.