MR. Andrew Anthony Wallace SR.

  • NPI 1174856587
According to our database, the NPI number for MR. Andrew Anthony Wallace SR. is 1174856587 and activated since 14 years ago. MR. Andrew Anthony Wallace SR. is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1076 Santo Antonio Dr, Colton, CA 92324. You can also contact MR. Andrew Anthony Wallace SR. via telephone number is (909) 433-9824. Provider NPI information was last updated on 09/16/2009.

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Overview of MR. Andrew Anthony Wallace SR.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/16/2009
  • Last updated: 09/16/2009

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: RS9874
  • License State: CA

Provider Mailing Address

  • Address: 1076 Santo Antonio Dr
    Suite B
    Colton, CA 92324
  • Phone: 909-433-9824
  • Fax: 909-433-9830

Provider Practice Location

  • Address: 1076 Santo Antonio Dr
    Suite B
    Colton, CA 92324
  • Phone: 909-433-9824
  • Fax: 909-433-9830

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: RS9874
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Andrew Anthony Wallace SR.?
  • A: The npi number for MR. Andrew Anthony Wallace SR. is 1174856587.
  • Q: What are MR. Andrew Anthony Wallace SR.'s specialties?
  • A: MR. Andrew Anthony Wallace SR.'s specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MR. Andrew Anthony Wallace SR.?
  • A: The medical license number for MR. Andrew Anthony Wallace SR. is RS9874 and issued in CA in USA.
  • Q: Where is MR. Andrew Anthony Wallace SR. practice location?
  • A: MR. Andrew Anthony Wallace SR. is practicing at 1076 Santo Antonio Dr, Colton, CA 92324.
  • Q: How to contact MR. Andrew Anthony Wallace SR.?
  • A: You can contact MR. Andrew Anthony Wallace SR. via 909-433-9824.
Medicare Specialty
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Addiction Medicine
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