| Dr Richard Austin Wallace, MD | |
|
1306 Kanawha Blvd E, Charleston, WV 25301-3001 | |
| (304) 343-4371 | |
| (304) 353-0215 |
| Full Name | Dr Richard Austin Wallace |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology - Otology & Neurotology |
| Location | 1306 Kanawha Blvd E, Charleston, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013957034 | NPI | - | NPPES |
| 1013957034 | Other | WV | NPI |
| 010107500 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0901X | Otolaryngology - Otology & Neurotology | WV11648 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Austin Wallace, MD 1306 Kanawha Blvd E, Charleston, WV 25301-3001 Ph: (304) 343-4371 | Dr Richard Austin Wallace, MD 1306 Kanawha Blvd E, Charleston, WV 25301-3001 Ph: (304) 343-4371 |
Carrie Marie Bush, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 830 Pennsylvania Ave, Suite 405, Charleston, WV 25302 Phone: 304-388-2980 Fax: 304-388-2981 | |
Marcus Doddridge Shaffer, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 830 Pennsylvania Ave, Suite 302, Charleston, WV 25302 Phone: 304-388-2950 Fax: 304-388-2951 | |
Mr. Phillip Todd Nichols, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 500 Donnally St, Suite 200, Charleston, WV 25301 Phone: 304-342-0124 Fax: 304-340-2204 | |
Dr. David Richard Lough, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 500 Donnally St Ste 200, Charleston, WV 25301 Phone: 304-767-7830 Fax: 304-767-7829 | |
Mr. Michael R Goins, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1311 Virginia St. E, Suite 200, Charleston, WV 25301 Phone: 304-353-0200 Fax: 304-353-0337 |