Individual
MR. DOUGLAS CECIL WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2014 HEWITT HALL, UNIVERSITY OF CALIFORNIA IRVINE, IRVINE, CA 92697-3940
(949) 824-3490
Mailing address
2014 HEWITT HALL, UNIVERSITY OF CALIFORNIA IRVINE, IRVINE, CA 92697-3940
(949) 824-3490
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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