Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS EVANS WALLACE, MD
Active Sole ProprietorTHOMAS EVANS WALLACE, MD is a Family Medicine healthcare provider located in WILLIAMSPORT, Pennsylvania. NPI 1306882725 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WILLIAMSPORT, PA
Registration Details
- NPI Number
- 1306882725
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2006 (20.139869162486 yrs)
- Last Updated
- Oct 5, 2022
- License
-
MD045078L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
145 SHAFFER STWILLIAMSPORT, PA, 177026727Browse PA providers · Browse ZIP 17702
- Phone
- 5703271335
- Fax
- 5703217800
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WILLIAMSPORT, PA
| Name | Credential | NPI |
|---|---|---|
| JAMES STEVEN BALDYS | M.D. | 1306849518 |
| MR. JOHN N. BOLL JR. | D.O. | 1073516944 |
| DR. KENNETH ROBERT DURRWACHTER | MD | 1992702682 |
| JOHN ARTHUR PELLEGRINO | — | 1932107596 |
| ROSEMARY WIEGAND | — | 1245239870 |
| F COLEMAN FUNK | MD | 1548261126 |
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.