Individual
DR. CYNTHIA KAY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC STREET BOX 356423, SEATTLE, WA 98195-2223
(919) 259-4678
Mailing address
19425 TOLLHOUSE RD, CLOVIS, CA 93619-9758
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60250818
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
C139714
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD60250818
WA
207RI0200X
Infectious Disease Physician
MD60250818
WA
208M00000X
Hospitalist Physician
C139714
CA
208M00000X
Hospitalist Physician
MD60250818
WA
Other
Enumeration date
05/05/2008
Last updated
06/24/2024
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