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Roger Wallace, M.D
NPI 1083645501 · on the registry since 2006 · sole proprietor
Practice
- Address
- 23845 Mcbean Pkwy
Valencia, CA 91355 - Phone
- (661) 253-8112
- Fax
- (661) 253-8119
- Organisation at this address
- Relevo Health Pc
Balanced Diet Pc
Reuel Asinas, M.D.
Francis Lau Md Inc
Kuni Nishino Md IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 80
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-07
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