Dr Graham Wilson Wallace, MD | |
David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535-1809 | |
(707) 423-3040 | |
Not Available |
Full Name | Dr Graham Wilson Wallace |
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Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 26 Years |
Location | David Grant Medical Center, Travis Afb, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1063499267 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
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Denver Health & Hospital Authority | Denver, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
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Denver Health And Hospital Authority | 4688583578 | 651 |
Entity Name | Denver Health And Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211 |
Mailing Address | Practice Location Address |
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Dr Graham Wilson Wallace, MD David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535-1809 Ph: (707) 423-3040 | Dr Graham Wilson Wallace, MD David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535-1809 Ph: (707) 423-3040 |
Dr. Teddy Jinnteh Su, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535 Phone: 707-423-7181 | |
Dr. Zoltan A. Varro, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182 | |
James Odone, Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Dr. Theodore Joseph Jerdee, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Dr. Lance Dustin Edmonds, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Mdts/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Winnifred Wong, DO Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7691 | |
Dr. Marvin Glass Jr., PHD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5119 |