Individual
DR. CHRISTOPHER ALAN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 FARMINGTON AVENUE, SUITE 332, FARMINGTON, CT 06089
(888) 276-2223
(972) 767-0225
Mailing address
PO BOX 840294, DALLAS, TX 75284-0294
(888) 344-1160
(972) 331-3148
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
041939
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
041939
CT
Other
Enumeration date
07/12/2006
Last updated
11/26/2013
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