Mr. Douglas Cecil Wallace
Medical Geneticist
2014 Hewitt Hall University Of California Irvine
Irvine
, California 92697-3940
Mr. Douglas Cecil Wallace
Medical Geneticist
2014 Hewitt Hall University Of California Irvine
Irvine
, California 92697-3940
(949) 824-3490
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Mr. Douglas Cecil Wallace
- 2014 Hewitt Hall University Of California Irvine
- Irvine, CA
- Zip : 92697-3940
- Phone : (949) 824-3490
Second Address
- Mr. Douglas Cecil Wallace
- 2014 Hewitt Hall University Of California Irvine
- Irvine, CA
- Zip : 92697-3940
- Phone : (949) 824-3490
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 170100000X | Medical Geneticist |
National Provider Identifier
| NPI | 1811181498 |
|---|---|
| Provider Name | Mr. Douglas Cecil Wallace |
| First Address | Irvine, CA 92697-3940 |
| Second Address | Irvine, CA 92697-3940 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2007 |
| Last Update Date | 28/08/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.