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

Dr. Robert C Wallace, MD

Individual provider Neuroradiology Physician · NPI 1386619831

Dr. Robert C Wallace, MD is a Neuroradiology Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2
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

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone: (602) 406-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence 22535 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 22535 (AZ)

Record details

NPI number1386619831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 20, 2006
Last updated in NPPESNovember 30, 2007
Mailing addressPo Box 27340, Phoenix, AZ 85061-7340

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