Dr JOHN H WALLACE is a male medical professional, specializing in Nurse Practitioner. He graduated in 2015.
EASTERN ALEUTIAN TRIBES, INC.
100 SLOCUM DR
KING COVE CHC
KING COVE
AK
99612
Tel: 9074972311
| Npi | 1003296484 |
| Pac Id | 0446567127 |
| Professional Enrollment Id | I20190305001248 |
| Last Name | WALLACE |
| First Name | JOHN |
| Middle Name | H |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | EASTERN ALEUTIAN TRIBES, INC. |
| Group Practice Pac Id | 2860301884 |
| Number Of Group Practice Members | 26 |
| Line 1 Street Address | 100 SLOCUM DR |
| Line 2 Street Address | KING COVE CHC |
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| City | KING COVE |
| State | AK |
| Zip Code | 99612 |
| Phone Number | 9074972311 |
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| Professional Accepts Medicare Assignment | Y |
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