Dr. David Richard Wallace
MD | Pediatrics | Male
Dr. David Richard Wallace, MD is a Lake Charles, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. David Richard Wallace is
2903 1st Ave, Lake Charles, Louisiana - 70601-8809. He can be contacted on phone at
337-478-6480 and fax number 337-474-9637.
Dr. David Richard Wallace is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. David Richard Wallace is
1619968146 which was assigned by NPPES on 03 Nov, 2005 and it was last updated on 08 Jul, 2007.
Dr. David Richard Wallace license number is
015614 for Pediatrics (208000000X) in Louisiana.
Dr. David Richard Wallace is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. David Richard Wallace basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. David Richard Wallace |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. David Richard Wallace address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2903 1st Ave
Lake Charles, LA, 70601-8809
United States |
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| Phone Number : | 337-478-6480 |
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| Fax Number : | 337-474-9637 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619968146 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Nov, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. David Richard Wallace are as mentioned. Primary taxonomy code for Dr. David Richard Wallace, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 015614 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. David Richard Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1329762 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2903 1st Ave
Lake Charles, LA, 70601-8809
United States |
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| Phone Number : | 337-478-6480 |
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| Fax Number : | 337-474-9637 |
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Business Location:
Patients can refer following map for directions to
Dr. David Richard Wallace practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.