Individual
DAVID WARNER WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0000
Mailing address
2108 E THOMAS RD, STE 130, PHOENIX, AZ 85016-7761
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A158148
CA
207LP3000X
Pediatric Anesthesiology Physician
Primary
67086
AZ
Other
Enumeration date
03/19/2017
Last updated
09/13/2022
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