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

BRIAN ROBERT WALLACE, D.O.

Active

BRIAN ROBERT WALLACE, D.O. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in NAPLES, Florida. NPI 1518118462 is currently active in the NPPES registry. Verify at CMS.

Adult Reconstructive Orthopaedic Surgery · NAPLES, FL

Registration Details

NPI Number
1518118462
Provider Type
Individual
Gender
Male
NPI Issued
Oct 8, 2008 (17.863390092083 yrs)
Last Updated
Jun 24, 2019
License
OS12629 (FL)

Practice Information

Address
1250 PINE RIDGE RD
SUITE 203
NAPLES, FL, 341088913
Browse FL providers · Browse ZIP 34108
Phone
2362612663
Fax
2392625633
Primary Specialty
Adult Reconstructive Orthopaedic Surgery
207XX0005X

Other Adult Reconstructive Orthopaedic Surgery Providers in NAPLES, FL

Name Credential NPI
ERIC ROBERT MESECKE RPA 1477552669
PATRICK A SMITH M.D. 1639162225
DR. STEVEN L CASE M.D. 1972590883
DR. PHILIP T REGALA M.D. 1144290206
DR. MICHAEL TERRANCE HAVIG M.D. 1992775589
PETER REGALA MD 1427518711
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.