Mr. Heath Wade Wallace, IDC
Mr. Heath Wade Wallace, IDC is an Independent Duty Corpsman in FPO, Armed Forces Europe. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address may be wrong
Uss Theodore Roosevelt Cvn 71 Medical DeptFPO, AE 09599-2871
Phone: (757) 445-6230
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1558323725 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | April 4, 2006 |
| Last updated in NPPES | April 20, 2008 |
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