Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEVEN EARL WALLACE, RPA
Active Sole ProprietorSTEVEN EARL WALLACE, RPA is a Anesthesiologist Assistant healthcare provider located in QUINCY, California. NPI 1457515587 is currently active in the NPPES registry. Verify at CMS.
Anesthesiologist Assistant · QUINCY, CA
Registration Details
- NPI Number
- 1457515587
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2008 (18.10393081544 yrs)
- Last Updated
- Jul 17, 2008
- License
-
243U00000X
- Sole Proprietor
- Yes
Practice Information
- Address
-
1065 BUCKS LAKE RDQUINCY, CA, 959719507Browse CA providers · Browse ZIP 95971
- Phone
- 5302837155
- Fax
- 5302831838
- Primary Specialty
-
Anesthesiologist Assistant
246ZA2600X
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.