Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT JAY WALLACE, M.D.
Active Sole ProprietorHospice and Palliative Medicine (OB/GYN) · BAKERSFIELD, CA
Registration Details
- NPI Number
- 1649484635
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2007 (18.956146544988 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G042135 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6250 ALFRED HARRELL HWYBAKERSFIELD, CA, 933089654Browse CA providers · Browse ZIP 93308
- Phone
- 6612039454
- Fax
- 6613227675
- Primary Specialty
-
Hospice and Palliative Medicine (OB/GYN)
207VH0002X
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.