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RANDY WALLACE, NP
NP
Nurse Practitioner
NPI: 1750688743IndividualAccepts Medicare
Specialties, Licenses & Credentials
Adult Health Nurse Practitioner
Nurse Practitioner — Adult Health
Code: 363LA2200X
95001748(CA)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
95001748(CA)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2010
Contact & Hours
- Address
- 300 PASTEUR DR
STANFORD, CA 94305 - Phone
- (650) 723-4000
Quick Facts
- NPI
- 1750688743
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 16
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