Wallace B Carroll
Pediatrician Allergist
600 Coffee Rd
Modesto
, California 95355-4201
Wallace B Carroll
Pediatrician Allergist
600 Coffee Rd
Modesto
, California 95355-4201
(209) 524-1211
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About
Features
Specialties
- Allergist
- Pediatrician
Languages spoken
- English
Location
First Address
- Wallace B Carroll
- 600 Coffee Rd
- Modesto, CA
- Zip : 95355-4201
- Phone : (209) 524-1211
Second Address
- Wallace B Carroll
- 600 Coffee Rd
- Modesto, CA
- Zip : 95355-4201
- Phone : (209) 524-1211
Reviews
FAQs
Where did Wallace B Carroll attend graduate school?
Where did Wallace B Carroll do his residency?
Where did Wallace B Carroll do his fellowship?
Is Wallace B Carroll board certified?
What type of doctor is Wallace B Carroll
In what state does Wallace B Carroll practice in?
Where is Wallace B Carroll ’s practice located?
What is Wallace B Carroll ’s gender?
Is Wallace B Carroll a sole practitioner?
Is Wallace B Carroll accepting new patients?
What languages does Wallace B Carroll speak?
Does Wallace B Carroll accept insurance?
Does Wallace B Carroll offers telemedicine?
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What is Wallace B Carroll ’s NPI number?
Does Wallace B Carroll have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207KA0200X | Allergist | A31444 | CA |
| N | 208000000X | Pediatrician | A31444 | CA |
National Provider Identifier
| NPI | 1003874124 |
|---|---|
| Provider Name | Wallace B Carroll |
| First Address | Modesto, CA 95355-4201 |
| Second Address | Modesto, CA 95355-4201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 28/05/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A314440 | (05) | CA |
| A26484 | (02) | CA |
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.