Search › Virginia › 1710I1002X
John Wallace, IDC
NPI 1316926066 · on the registry since 2006
Practice
- Address
- 300 E Main St
Suite 1000
Norfolk, VA 23510 - Phone
- (757) 628-4347
- Organisation at this address
- Uscg Clinic Savannah
Uscg Clinic Jacksonville
Uscg Clinic Barbers Point
Uscg Clinic Corpus Christi
Anesthesia Specialists, PtrInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2026-07-13
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 Virginia