Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK D WALLACE, M.D.
ActiveMARK D WALLACE, M.D. is a Diagnostic Radiology healthcare provider located in REDDING, California. NPI 1689690091 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · REDDING, CA
Registration Details
- NPI Number
- 1689690091
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2006 (20.115885031366 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G31736 (CA)
Practice Information
- Address
-
2020 COURT STREDDING, CA, 960011822Browse CA providers · Browse ZIP 96001
- Phone
- 5302431236
- Fax
- 5302438502
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in REDDING, CA
| Name | Credential | NPI |
|---|---|---|
| STEPHEN T HECHT | M.D. | 1902877889 |
| PHILIP ALAN BAKER | M.D. | 1871555425 |
| DANFORD C BICKMORE | M.D. | 1871519272 |
| RHONDA WYATT | M.D. | 1720004146 |
| AMJAD A RASHEED | M.D. | 1982624144 |
| DON H CHIN | M.D. | 1316967557 |
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.