John Wallace Sr., IDC
John Wallace Sr., IDC is an Independent Duty Corpsman in Norfolk, Virginia. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
300 E Main St Ste 1000Norfolk, VA 23510-1753
Phone: (757) 628-4347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1316926066 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | January 11, 2006 |
| Last updated in NPPES | July 13, 2026 |
| Mailing address | 235 Jonathans Way, Suffolk, VA 23434-9153 |
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