Search › Virginia › 207ND0101X
Matthew Wallace, M.D
NPI 1255867784 · on the registry since 2017
Practice
- Address
- 3829 Gaskins Rd Ste A
Richmond, VA 23233 - Phone
- (804) 282-8510
- Organisation at this address
- Mgellan Complete Care Virginia
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207ND0101X
207ND0101X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-24
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 Virginia