Search › Pennsylvania › 207Q00000X
Thomas Wallace, MD
NPI 1306882725 · on the registry since 2006 · sole proprietor
Practice
- Address
- 145 Shaffer St
Williamsport, PA 17702 - Phone
- (570) 327-1335
- Fax
- (570) 321-7800
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-05
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 Pennsylvania