Dr RICHARD P WALLACE MD is a male medical professional, specializing in Family Medicine. He graduated in 2000 from Meharry Medical College School Of Medicine.
BAYSIDE URGENT CARE CENTER INC.
1001 S FORT HARRISON AVE
SUITE 101
CLEARWATER
FL
337563905
Tel: 7274415044
| Npi | 1275586448 |
| Pac Id | 2062315575 |
| Professional Enrollment Id | I20040131000044 |
| Last Name | WALLACE |
| First Name | RICHARD |
| Middle Name | P |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | SPORTS MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | SPORTS MEDICINE |
| Organization Legal Name | BAYSIDE URGENT CARE CENTER INC. |
| Group Practice Pac Id | 3375700180 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 1001 S FORT HARRISON AVE |
| Line 2 Street Address | SUITE 101 |
| Marker Of Address Line 2 Suppression | |
| City | CLEARWATER |
| State | FL |
| Zip Code | 337563905 |
| Phone Number | 7274415044 |
| Hospital Affiliation Ccn 1 | 100127 |
| Hospital Affiliation Lbn 1 | MORTON PLANT HOSPITAL |
| Hospital Affiliation Ccn 2 | 100043 |
| Hospital Affiliation Lbn 2 | MEASE DUNEDIN HOSPITAL |
| Hospital Affiliation Ccn 3 | 100265 |
| Hospital Affiliation Lbn 3 | MORTON PLANT MEASE HEALTHCARE COUNTRYSIDE |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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