Individual
ROBERT P. WALLACE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
752 WAYCROSS RD, CINCINNATI, OH 45240-3184
(513) 825-9595
(513) 589-3747
Mailing address
752 WAYCROSS RD, CINCINNATI, OH 45240-3184
(513) 825-9595
(513) 589-3747
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35080856W
OH
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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