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Provider Profile

Justin C. Wallace, DIVE IDC

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At a glance

About Justin Wallace

Justin C. Wallace, DIVE IDC is a healthcare provider located in San Diego, CA. The provider's National Provider Identifier (NPI) is 1114354156.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

NPINational Provider Identifier
1114354156Issued 2013

As reported to the NPI registry ↗

Common questions

Where is Justin C. Wallace located?

Justin C. Wallace is listed at 699 14Th St, San Diego, CA 92101. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Justin C. Wallace's phone number?

The number on file is (760) 845-8116. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Justin C. Wallace's NPI number?

Justin C. Wallace's National Provider Identifier is 1114354156. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Justin C. Wallace been practicing?

Justin C. Wallace has 13+ years experience. Registered with an NPI since 2013. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Justin C. Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Justin C. Wallace. If this is you, claiming it is free.

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