Individual provider · Type 1 NPI

David Wallace, MD MSC FRCSC

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1376217836 Active

Practice location

Shriner's Hospital, 2425 Stockton Blvd, Burn Unit Floor 7
Sacramento, CA 95817

Mailing address

5125 U Street
Sacramento, CA 95817

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376217836

David Wallace, MD MSC FRCSC's National Provider Identifier is 1376217836, issued on Aug 6, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Aug 6, 2021.