Stephen Russell Wallace, DO is a diagnostic radiology radiology in Durham, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Stephen Russell Wallace, DO NPI is 1194220061. 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:
2301 ERWIN RD
DURHAM, NC
ZIP 27705-699
Phone: (919) 684-8111
The NPI 1194220061 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 3/24/2018 and was last updated on 6/27/2023.