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Individual
DR. DAVID K. WALLACE
Active
Individual
DR. DAVID K. WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01079216A
IN
207W00000X
Ophthalmology Physician
68821
TN
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
01079216A
IN
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
68821
TN
Other
Enumeration date
09/26/2006
Last updated
07/17/2025
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