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 2024-04-25 16:37:25 UTC
LAST UPDATED 2024-04-25 16:37:25 UTC