License holder summary

Eric W Wallace MD is a Medical Doctor licensed to practice in Arizona. The address on file for Eric W Wallace MD is StatRad, 13915 Danielson St #200, Poway CA 92064. This licensed professional license is current. The license was granted 08/13/2012.

Arizona

Board of Licensing

Eric W Wallace MD
Medical Doctor
License number
46770
Date granted
08/13/2012
Class
Medical Doctor
Status
Active
Address
StatRad, 13915 Danielson St #200, Poway CA 92064
arizonalicensing.com
ID 22485120
LAST UPDATED 2026-04-30 11:00:25 UTC

This website is unaffiliated with Arizona and its licensing agencies. Please verify all information directly with the relevant official government authority.

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