Individual
DR. MATTHEW MALONE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3829 GASKINS RD STE A, RICHMOND, VA 23233-1437
(804) 282-8510
Mailing address
3829 GASKINS RD STE A, RICHMOND, VA 23233-1437
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
0101274476
VA
Other
Enumeration date
05/03/2017
Last updated
09/24/2025
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