Individual
DR. JAMES DAVID WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1894
(619) 532-7575
Mailing address
BLDG H 2005 KNIGHT LANE, ATTN: MEDICAL STAFF SERVICES, JACKSONVILLE, FL 32212-0140
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60918669
WA
2086S0127X
Trauma Surgery Physician
Primary
MD49240
DC
Other
Enumeration date
06/30/2010
Last updated
08/11/2025
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