Anthony P Wallace (NPI# 1891793923, PAC ID# 4587559851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1891793923 |
| PAC ID by PECOS | 4587559851 |
| Professional Enrollment ID | I20120501000447 |
| Full Name | Anthony P Wallace |
| Organization Legal Name | ANTHONY WALLACE |
| Address |
5255 El Camino Real Suite C Atascadero CA 93422-3351 |
| Phone Number | 8054607350 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4981599255 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5255 El Camino Real, Suite C, Atascadero, CA 93422-3351 | 8054607350 | ANTHONY WALLACE |
| 2150 Heritage Loop Rd, Suite D, Paso Robles, CA 93446-7802 | 8052370272 | ANTHONY WALLACE |
| Organization Legal Name | ANTHONY WALLACE |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janev Alicia Alvarez | Physical Therapy | Anthony Wallace | 5255 El Camino Real, Suite C, Atascadero, CA 93422-3351 |
| Wendy Ann Westphal | Physical Therapy | Anthony Wallace | 5255 El Camino Real, Suite C, Atascadero, CA 93422-3351 |
| Emily Hernandez | Physical Therapy | Anthony Wallace | 5255 El Camino Real, Suite C, Atascadero, CA 93422-3351 |
| Street Address |
5255 EL CAMINO REAL SUITE C |
| City | ATASCADERO |
| State | CA |
| Zip | 93422-3351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janev Alicia Alvarez | Physical Therapy | Anthony Wallace | 5255 El Camino Real, Suite C, Atascadero, CA 93422-3351 |
| Wendy Ann Westphal | Physical Therapy | Anthony Wallace | 5255 El Camino Real, Suite C, Atascadero, CA 93422-3351 |
| Emily Hernandez | Physical Therapy | Anthony Wallace | 5255 El Camino Real, Suite C, Atascadero, CA 93422-3351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Angelica M Flores | Nurse Practitioner | Pain Management Specialists Medical Group | 5000 San Palo Rd, Suite 101, Atascadero, CA 93422-2481 |
| Suzanne J Mccurdy | Nurse Practitioner | Pain Management Specialists Medical Group | 5000 San Palo Rd, Suite 101, Atascadero, CA 93422-2481 |
| Cindy M Mitchell | Psychologist, Clinical | 3528 El Camino Real, Atascadero, CA 93422-2531 | |
| Darren R Hart | Chiropractic | 3546 El Camino Real, Atascadero, CA 93422-2532 | |
| Jerry D Ralston | Chiropractic | 4305 El Camino Real, Atascadero, CA 93422-2567 | |
| Larry S Hirsch | Obstetrics/gynecology | 4555 El Camino, Atascadero, CA 93422-2700 | |
| Mary L Amedeo | Clinical Social Worker | 4401 El Camino Real, Atascadero, CA 93422-2708 | |
| Mary R Kaltenbach | Chiropractic | 4605 El Camino Real B, Atascadero, CA 93422-2758 | |
| Tracey L Rinaldi | Physical Therapy | 7100 Navarette Ave, Atascadero, CA 93422-3750 | |
| Janet Kershaw-mclennan | Allergy/immunology | 8105 Morro Rd, Suite D, Atascadero, CA 93422-3911 | |
| Find all physicians in zip 93422 | |||
| City | ATASCADERO |
| Zip Code | 93422 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ATASCADERO + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Anthony P Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.