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

Mark D Wallace, MD

Individual provider Diagnostic Radiology Physician · NPI 1689690091

Mark D Wallace, MD is a Diagnostic Radiology Physician in Redding, 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

2020 Court St
Redding, CA 96001-1822
Phone: (530) 243-1236
Fax: (530) 243-8502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G31736 (CA)

Record details

NPI number1689690091
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 492080, Redding, CA 96049-2080

Other providers in Redding