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

WALLACE HENRY JR.

Active

WALLACE HENRY JR. is a Medical Laboratory Technician healthcare provider located in MESA, Arizona. NPI 1316311715 is currently active in the NPPES registry. Verify at CMS.

Medical Laboratory Technician · MESA, AZ

Registration Details

NPI Number
1316311715
Provider Type
Individual
Gender
Male
NPI Issued
Nov 23, 2015 (10.754442075389 yrs)
Last Updated
Nov 23, 2015

Practice Information

Address
1055 S STAPLEY DR
MESA, AZ, 85204
Browse AZ providers · Browse ZIP 85204
Phone
4808339100
Primary Specialty
Medical Laboratory Technician
246ZS0410X

Other Medical Laboratory Technician Providers in MESA, AZ

Name Credential NPI
KELLY STANTON 1083035638
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.