Search › Pennsylvania › 2085R0202X
Marc Wallace, DO
NPI 1841299146 · on the registry since 2005 · sole proprietor
Practice
- Address
- 138 Platt Dr
Johnstown, PA 15904 - Phone
- (412) 478-6416
- Fax
- (412) 387-5010
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-05
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