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

Wallace B Carroll, MD

Individual provider Allergy Physician · NPI 1003874124

Wallace B Carroll, MD is an Allergy Physician in Modesto, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
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.

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Practice location Address checks out

600 Coffee Rd
Modesto, CA 95355-4201
Phone: (209) 524-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy Physician (primary) Taxonomy 207KA0200X · Licence A31444 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A31444 (CA)

Record details

NPI number1003874124
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESMay 28, 2010
Mailing address600 Coffee Rd, Modesto, CA 95355-4201

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