Individual
MS. ERIN MARIE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
651 COLLIERS WAY STE 201, WEIRTON, WV 26062-5055
(043) 723-4700
(304) 734-4719
Mailing address
651 COLLIERS WAY STE 201, WEIRTON, WV 26062-5055
(304) 723-4700
(304) 723-4719
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003119L
PA
Other
Enumeration date
08/12/2005
Last updated
07/13/2020
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