Individual
DR. DAVID JOHN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(510) 537-1234
Mailing address
3215 BURDECK DR, OAKLAND, CA 94602-2623
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
85105
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C170028
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD441174
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
S9431
TX
Other
Enumeration date
06/29/2007
Last updated
08/30/2025
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