Individual provider · Type 1 NPI

James Doran Wallace, P.A., D.C

Medical Physician Assistant · Roseville, CA

NPI number 1013124908 Active

Practice location

1650 Lead Hill Blvd, Suite 600
Roseville, CA 95661-3061

Call (916) 765-3785 Map

Fax (916) 361-9869

Mailing address

8948 Salmon Falls Dr
Sacramento, CA 95826-1923

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA14039 (CA)
Orthopedic Chiropractor 111NX0800X12087 (CA)

Medical Physician Assistant: Definition to come...

10 other providers at this address

Other medical physician assistant providers in Roseville

See all in Roseville →

About NPI 1013124908

James Doran Wallace, P.A., D.C's National Provider Identifier is 1013124908, issued on May 17, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Roseville, CA. The record was last updated on May 16, 2009.