| Wallace B Carroll, MD | |
|
600 Coffee Rd, Modesto, CA 95355-4201 | |
| (209) 524-1211 | |
| Not Available |
| Full Name | Wallace B Carroll |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology - Allergy |
| Location | 600 Coffee Rd, Modesto, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003874124 | NPI | - | NPPES |
| 00A314440 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | A31444 (California) | Primary |
| 208000000X | Pediatrics | A31444 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace B Carroll, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 524-1211 | Wallace B Carroll, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 524-1211 |
Nisha Ann Roy, Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 1923 Coffee Rd Ste 12, Modesto, CA 95355 Phone: 209-409-8454 | |
James T. Jaing, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Dr. Richard H. Davis, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1429 College Ave, Suite E, Modesto, CA 95350 Phone: 209-578-1582 Fax: 209-578-5185 |