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Christopher Wallace, IDC
NPI 1003101775 · on the registry since 2011
Practice
- Address
- 34101 Farenholt Ave
San Diego, CA 92134 - Phone
- (619) 532-7801
- Organisation at this address
- United States Navy
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 483
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Sex
- Male
- Record last updated
- 2011-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California