Search › Ohio › 3747P1801X
Anthony Wallace
NPI 1164268306 · on the registry since 2024
Practice
- Address
- 2161 Courtland Ave
Kettering, OH 45420 - Phone
- (423) 342-5226
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Also registered as
- 374U00000X
- Sex
- Male
- Record last updated
- 2024-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio