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Individual

NEIL WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 626-7233
Mailing address
5489 N QUIET DREAM AVE, TUCSON, AZ 85741-3831
(505) 270-4178

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
67949
AZ

Other

Enumeration date
04/21/2020
Last updated
06/12/2023
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