Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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David Edward Wallace, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265236590

David Edward Wallace, MD is a Student in an Organized Health Care Education/Training Program in Rancho Mirage, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

39000 Bob Hope Dr Ofc Ste 201
Rancho Mirage, CA 92270-3221
Phone: (760) 773-4504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1265236590
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2025
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address39000 Bob Hope Dr Ofc Ste 201, Rancho Mirage, CA 92270-3221

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