Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CRAIG PHILIP WALLACE, PA-C
ActiveMR. CRAIG PHILIP WALLACE, PA-C is a Medical Physician Assistant healthcare provider located in OLYMPIA, Washington. NPI 1851351522 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · OLYMPIA, WA
Registration Details
- NPI Number
- 1851351522
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2006 (20.353063745321 yrs)
- Last Updated
- May 10, 2021
- License
-
PA10003829 (WA)
Practice Information
- Address
-
700 LILLY RD NEOLYMPIA, WA, 985065115Browse WA providers · Browse ZIP 98506
- Phone
- 3609237000
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in OLYMPIA, WA
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA K LOBE | P.A.-C | 1932104700 |
| DAVID R ELKINS | PA | 1235137571 |
| VICTORIA A MOORE | PAC | 1912988650 |
| RICKARD D. ANTLES | PA | 1518931526 |
| MR. JEFFREY A ERNST | PAC, ATC | 1275507188 |
| MRS. MADELAINE CATHLEEN MCCULLOUGH | PA-C | 1225070923 |
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.