Mark R. Wallace, MD
Mark R. Wallace, MD is an Infectious Disease Physician in Mount Vernon, Washington. Licensed in Florida and Washington. Registered with an NPI since 2006.
- Licensed in
- FL, WA
- 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.
Practice location Address checks out
1400 E Kincaid StMount Vernon, WA 98274-4127
Phone: (360) 848-4150
Fax: (360) 428-6485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Infectious Disease Physician (primary) | Taxonomy 207RI0200X · Licence MD00020591 (WA) |
|---|---|
| Infectious Disease Physician | Taxonomy 207RI0200X · Licence ME94199 (FL) |
Record details
| NPI number | 1982683603 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | January 11, 2006 |
| Last updated in NPPES | February 28, 2017 |
| Mailing address | 1400 E Kincaid St, Attn: Credentialing, Mount Vernon, WA 98274-4127 |
Other providers in Mount Vernon
-
Mary Frances Bavaro, MD
1400 E Kincaid St, Mount Vernon, WA 98274-4127 · (360) 848-4150
-
Madonna A. Biritwum, MD
1400 E Kincaid St, Mount Vernon, WA 98274-4127 · (360) 848-4150
-
Collin T Dela Houssaye
1400 E Kincaid St, Mount Vernon, WA 98274 · (360) 848-4150
-
Dr. Rehman Ukani, MD
1400 E Kincaid St, Mount Vernon, WA 98274-4127 · (360) 848-4150