DR. Grant Charles Wallace, M.D. is a diagnostic radiology radiology in Oceanside, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Grant Charles Wallace, M.D. NPI is 1043208101. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
200 MERCY CIRCLE
OCEANSIDE, CA
ZIP 92055
Phone: (760) 719-3479
The enumeration date for this NPI number is 10/12/2005 and was last updated on 9/25/2023.