Individual
DR. ELIZABETH ANNE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2384 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4280
(804) 423-3636
Mailing address
309 RUNNING CEDAR LN, HENRICO, VA 23229-7953
(804) 282-1918
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101251402
VA
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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