Individual provider · Type 1 NPI

Craig Philip Wallace, PA-C

Medical Physician Assistant · Olympia, WA

NPI number 1851351522 Active

Practice location

700 Lilly Rd NE
Olympia, WA 98506-5115

Other practice locations

  • Va Puget Sound, American Lake Division, Tacoma, WA 98493-0001 · (253) 582-8440

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10003829 (WA)

Medical Physician Assistant: Definition to come...

294 other providers at this address

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About NPI 1851351522

Craig Philip Wallace, PA-C's National Provider Identifier is 1851351522, issued on Mar 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Olympia, WA. The record was last updated on May 10, 2021.