Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP C WALLACE, MD
ActiveDR. PHILIP C WALLACE, MD is a Physical Medicine & Rehabilitation healthcare provider located in BEND, Oregon. NPI 1629258322 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · BEND, OR
Registration Details
- NPI Number
- 1629258322
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2007 (18.806831188462 yrs)
- Last Updated
- May 10, 2017
- Licenses
-
MD152056 (OR)P1432 (TX)
Practice Information
- Address
-
2115 NE WYATT CT.101BEND, OR, 977016324Browse OR providers · Browse ZIP 97701
- Phone
- 5413236280
- Fax
- 5413236288
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in BEND, OR
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY A HILL | M.D. | 1891790382 |
| DAVID C STEWART | MD | 1578569968 |
| JAMES O NELSON | MD | 1104826205 |
| MR. MARC ANTHONY WAGNER | MD | 1710989785 |
| DR. JOSEPHINE M FITZSIMONS | M.D. | 1740265453 |
| DR. NANCY MALONEY | M.D. | 1841385408 |
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.