MR. THEODORE WILLIAM WALLACE (PA-C) – Physician Assistant, NPI 1609931393
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. THEODORE WILLIAM WALLACE (PA-C)
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
9040A FITZSIMMONS DR
TACOMA, WA 984310001
Phone: (253) 968-5161
Type: Location
6317, 63rd Street West, Harvest Ridge, University Place, Pierce County, Washington, 98467, United States
UNIVERSITY PLACE, WA 984674945
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98431)
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