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

DR. NOAH ISADORE WALLACE, D.O.

Active

DR. NOAH ISADORE WALLACE, D.O. is a Family Medicine healthcare provider located in FALLS CHURCH, Virginia. NPI 1255713301 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FALLS CHURCH, VA

Registration Details

NPI Number
1255713301
Provider Type
Individual
Gender
Male
NPI Issued
Jun 25, 2015 (11.134983240135 yrs)
Last Updated
May 23, 2025
License
0102205033 (VA)

Practice Information

Address
502 W BROAD ST STE 2
FALLS CHURCH, VA, 220463206
Browse VA providers · Browse ZIP 22046
Phone
5714218431
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in FALLS CHURCH, VA

Name Credential NPI
ALLISON BAE M.D. 1619973724
CAMILLE HORTON-THOMPSON M.D. 1649270331
CORMAC O'CONNOR M.D. 1780686360
DR. BRENDA ROBIN KIESSLING MD 1770576878
VICTOR LIN M.D. 1265403802
DR. EZRA M MORGAN M.D. 1770557183
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.