Justin Covey Wallace, RN is an emergency registered nurse in Phoenix, AZ. Justin Covey Wallace, RN NPI is 1578807103. 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:
4212 N 16TH ST
PHOENIX, AZ
ZIP 85016-319
Phone: (602) 263-1200
The enumeration date for this NPI number is 11/20/2012 and was last updated on 11/20/2012.