Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARC A WALLACE, DO
Active Sole ProprietorMARC A WALLACE, DO is a Diagnostic Radiology healthcare provider located in JOHNSTOWN, Pennsylvania. NPI 1841299146 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · JOHNSTOWN, PA
Registration Details
- NPI Number
- 1841299146
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2005 (21.07220008443 yrs)
- Last Updated
- Sep 5, 2025
- License
-
OS00848L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
138 PLATT DRJOHNSTOWN, PA, 159044305Browse PA providers · Browse ZIP 15904
- Phone
- 4124786416
- Fax
- 4123875010
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in JOHNSTOWN, PA
| Name | Credential | NPI |
|---|---|---|
| DR. STANLEY J GOLDEN | M.D. | 1467474858 |
| DR. KIET A HOANG | MD | 1093867749 |
| DR. JOANATHAN I ABRAHAMS | MD | 1629129374 |
| DR. HOWARD I FORMAN | MD | 1023169745 |
| DR. NIRMAL G MITAL | MD | 1558412221 |
| DR. LAWRENCE M MCNIESH | MD | 1225189939 |
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.