Robert Wallace, PA, NP is a family nurse practitioner in Oakland, CA. Robert Wallace, PA, NP NPI is 1720315336. 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:
747 52ND ST
OAKLAND, CA
ZIP 94609-809
Phone: (510) 428-3022
Fax: (510) 428-3022
The NPI 1720315336 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/3/2009 and was last updated on 6/11/2012.