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DAVID WALLACE, PA-C

PA-C

Surgical Physician Assistant

NPI: 1720646672IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

4572(CT)

CMS Specialties

Education

OTHER

Class of 2019

Contact & Hours

Via practice · 3 locations total

Address
130 DIVISION ST
DERBY, CT 06418

Quick Facts

NPI
1720646672
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
3
Years in Practice
7

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