James D. Wallace, P.A.,D.C
Physician Assistant · Roseville, CA
UnclaimedP.A.,D.CNPI 1013124908
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2007-05-17
- Practice location
- Roseville, CA
- Last NPPES update
- 2009-05-16
State licenses
- CA · Physician assistant · NPPES self-reportedListed on NPI record
- CA · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.