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

ERIC WALLACE, MD

Active

ERIC WALLACE, MD is a Diagnostic Radiology healthcare provider located in VENTURA, California. NPI 1578502191 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · VENTURA, CA

Registration Details

NPI Number
1578502191
Provider Type
Individual
Gender
Male
NPI Issued
Jun 6, 2006 (20.225460625236 yrs)
Last Updated
Nov 14, 2017
License
A85195 (CA)

Practice Information

Address
168 N BRENT ST
SUITE 402
VENTURA, CA, 930032817
Browse CA providers · Browse ZIP 93003
Phone
8882340004
Fax
8056413965
Primary Specialty
Diagnostic Radiology
2085R0202X

Other Diagnostic Radiology Providers in VENTURA, CA

Name Credential NPI
WOOK-CHIN CHONG MD 1982656203
DR. DUKE K BAHN MD 1174579700
KYU CHOI MD 1316986938
DR. REED M. HORWITZ M.D. 1558420398
DR. MATTHEW CARR M.D. 1336202365
DR. BRUCE MATTHEWS M.D. 1134283344
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.