Organization
PARTNERS IN MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R. WALLACE M.D. (PRESIDENT)
(602) 252-6855
Entity
Organization
Contact information
Practice address
1515 N 9TH ST, STE. D, PHOENIX, AZ 85006-2523
(602) 252-6855
(602) 252-2223
Mailing address
1515 N 9TH ST, STE. D, PHOENIX, AZ 85006-2523
(602) 252-6855
(602) 252-2223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
12/27/2010
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