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

John T Wallace II, MD

Individual provider Internal Medicine Physician · NPI 1023079803

John T Wallace II, MD is an Internal Medicine Physician in Fort Bragg, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

205 S St
Fort Bragg, CA 95437-5540
Phone: (707) 964-1251
Fax: (707) 961-2722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G37773 (CA)

Record details

NPI number1023079803
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESDecember 22, 2011
Mailing address205 South St, Fort Bragg, CA 95437-5540

Other providers in Fort Bragg