Individual provider · Type 1 NPI

Todd A. Wallace, PA-C

Physician Assistant · Durham, NC

NPI number 1073540209 Active

Practice location

3643 N Roxboro St
Durham, NC 27704-2702

Fax (919) 470-7392

Mailing address

611 Gravel Brook Ct
Cary, NC 27519-6009

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X102437 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073540209

Todd A. Wallace, PA-C's National Provider Identifier is 1073540209, issued on Jun 26, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Durham, NC. The record was last updated on Feb 17, 2016.