Individual
DR. ADAM GREGORY WALLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 EL CERRO BLVD, SUITE 204, DANVILLE, CA 94526-1731
(925) 837-8848
(925) 837-4808
Mailing address
400 EL CERRO BLVD, SUITE 204, DANVILLE, CA 94526-1731
(925) 837-8848
(925) 837-4808
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G85998
CA
207NS0135X
Procedural Dermatology Physician
Primary
G85998
CA
Other
Enumeration date
01/30/2007
Last updated
05/17/2022
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