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THEODORE WALLACE, PA-C

PA-C

Physician Assistant

NPI: 1609931393Individual

Specialties, Licenses & Credentials

Physician Assistant

Code: 363A00000X

PA100003556(WA)
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Contact & Hours

Address
MADIGAN ARMY MEDICAL CTR, 9040A FITZSIMMONS DR
TACOMA, WA 98431

Quick Facts

NPI
1609931393
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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