Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROY ERICKSON WALLACE, PA
ActiveMR. ROY ERICKSON WALLACE, PA is a Physician Assistant healthcare provider located in TAMC, Hawaii. NPI 1134191885 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TAMC, HI
Registration Details
- NPI Number
- 1134191885
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2006 (20.502078870396 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
1 JARRETT WHITE RDTAMC, PERSONNEL DIVISIONTAMC, HI, 968595001Browse HI providers · Browse ZIP 96859
- Phone
- 8084331790
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in TAMC, HI
| Name | Credential | NPI |
|---|---|---|
| MR. KENNETH WARREN SMITH SR. | APA-C | 1700969649 |
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.