Individual provider · Type 1 NPI

Robert D. Wallace, MD

Plastic and Reconstructive Surgery Physician · Memphis, TN

NPI number 1023075637 Active

Practice location

1068 Cresthaven Rd Ste 500
Memphis, TN 38119

Call (901) 866-8525 Map

Mailing address

1407 Union Ave Ste 700
Memphis, TN 38104-3641

Other practice locations

  • 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 · (901) 448-2300

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X27658 (TN)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1023075637

Robert D. Wallace, MD's National Provider Identifier is 1023075637, issued on Apr 27, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Memphis, TN. The record was last updated on Feb 1, 2019.