MR. THEODORE WILLIAM WALLACE PA-C
NPI 1609931393
Physician Assistant in Tacoma, WA
About Mr. Theodore William Wallace Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. THEODORE WILLIAM WALLACE PA-C (NPI 1609931393) is an individual physician assistant in Tacoma, Washington and active in the NPI registry since December 2006.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TACOMA, WA 98431
TACOMA, WA 98431
TACOMA, WA 98431
TACOMA, WA 98431
TACOMA, WA 98431
TACOMA, WA 98431
TACOMA, WA 98431
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theodore Wallace's NPI number?
The NPI number for Theodore Wallace is 1609931393. It was assigned to this individual provider in the NPPES registry on December 25, 2006.
Where is Theodore Wallace located?
Theodore Wallace practices at Madigan Army Medical Ctr 9040A Fitzsimmons Dr, Tacoma, WA 98431. The listed phone number is (253) 968-5161.
What is Theodore Wallace's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
When was this NPI record last updated?
The NPPES record for Theodore Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.