| Mark D Wallace, MD | |
|
2020 Court St, Redding, CA 96001-1822 | |
| (530) 243-1236 | |
| (530) 243-8502 |
| Full Name | Mark D Wallace |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2020 Court St, Redding, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689690091 | NPI | - | NPPES |
| 00G317360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G31736 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark D Wallace, MD Po Box 492080, Redding, CA 96049-2080 Ph: (530) 241-0473 | Mark D Wallace, MD 2020 Court St, Redding, CA 96001-1822 Ph: (530) 243-1236 |
Stephen L Hofkin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Court St, Redding, CA 96001 Phone: 530-243-1236 Fax: 530-243-8502 | |
Adam A Attoun, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Court St, Redding, CA 96001 Phone: 530-243-1236 Fax: 530-243-8502 | |
Gregory A. Shaw, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Court St, Redding, CA 96001 Phone: 530-243-1236 Fax: 530-245-5949 | |
Dr. John Charles Clark, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1325 Bambury Ct, Redding, CA 96001 Phone: 530-246-4971 Fax: 530-241-6847 | |
Jon Hohmeister, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2020 Court St, Redding, CA 96001 Phone: 530-243-1236 Fax: 530-243-8502 | |
Don H Chin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Court St, Redding, CA 96001 Phone: 530-243-1236 Fax: 530-243-8502 | |
Ewa Bauer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2020 Court St, Redding, CA 96001 Phone: 530-243-1236 Fax: 530-243-8502 |