Dr. Robert Jay Wallace, M.D.
Obstetrics & Gynecology, Hospice and Palliative Medicine in Bakersfield, CA. Individual provider (NPI-1).
NPI number1649484635
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1649484635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Jay Wallace
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VH0002X | Obstetrics & Gynecology, Hospice and Palliative Medicine | G042135 | CA | Yes |
Practice location
6250 Alfred Harrell HwyBakersfield, CA 93308-9654
Phone 661-203-9454 · Fax 661-322-7675
Mailing address
6250 Alfred Harrell HwyBakersfield, CA 93308-9654
Phone 661-203-9454 · Fax 661-322-7675
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