Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK R. WALLACE, MD
ActiveMARK R. WALLACE, MD is a Infectious Disease healthcare provider located in MOUNT VERNON, Washington. NPI 1982683603 is currently active in the NPPES registry. Verify at CMS.
Infectious Disease · MOUNT VERNON, WA
Registration Details
- NPI Number
- 1982683603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2006 (20.599325752362 yrs)
- Last Updated
- Feb 28, 2017
- Licenses
-
ME94199 (FL)MD00020591 (WA)
Practice Information
- Address
-
1400 E KINCAID STMOUNT VERNON, WA, 982744127Browse WA providers · Browse ZIP 98274
- Phone
- 3608484150
- Fax
- 3604286485
- Primary Specialty
-
Infectious Disease
207RI0200X
- Additional Specialty
- Infectious Disease
Other Infectious Disease Providers in MOUNT VERNON, WA
| Name | Credential | NPI |
|---|---|---|
| MARY FRANCES BAVARO | MD | 1508837329 |
| MADONNA A. BIRITWUM | M.D. | 1295975779 |
| COLLIN T DELA HOUSSAYE | — | 1285044917 |
| DR. REHMAN UKANI | M.D | 1700272564 |
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.