Individual provider · Type 1 NPI
Steven Earl Wallace, RPA
Medical Art Specialist/Technologist · Quincy, CA
NPI number
1457515587
Active
Practice location
1065 Bucks Lake Rd
Quincy, CA 95971-9507
Fax (530) 283-1838
Mailing address
2704 Ridgerun Rd
Quincy, CA 95971-9380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Art Specialist/Technologist Primary | 246ZA2600X | 243U00000X |
Medical Art Specialist/Technologist: None
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About NPI 1457515587
Steven Earl Wallace, RPA's National Provider Identifier is 1457515587, issued on Jul 17, 2008. The primary taxonomy on file is Medical Art Specialist/Technologist (246ZA2600X), and the practice location is in Quincy, CA. The record was last updated on Jul 17, 2008.