Wallace, John

Wallace, John is an sole proprietor health care provider with primary practice located at 9321 W Thomas Rd Ste 205 , Phoenix AZ 85037-3392. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wallace, John can be contacted via phone (866) 974-2673.

Contact Information

Primary practice address
9321 W Thomas Rd Ste 205 Phoenix AZ 85037-3392
Phone: (866) 974-2673
Fax: (866) 939-2673
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301093046 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 52631 Arizona
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 52631 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1225292634
LBN Legal business name Wallace, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2008
Last updated Apr 23rd, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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