Organization
DAVID WALLIS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H WALLIS MD (OWNER)
(424) 437-4700
Entity
Organization
Contact information
Practice address
520 N PROSPECT AVE STE 309, REDONDO BEACH, CA 90277-3043
(424) 437-4700
(424) 437-8884
Mailing address
PO BOX 66657, SEATTLE, WA 98166-0657
(424) 437-4700
(424) 437-8884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
09/27/2024
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