-- WALLACE B CARROLL -- MD
Individual Provider (NPI-1)
Active
Allergy & Immunology, Allergy
Provider Information
- NPI Number
1003874124- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 600 COFFEE RD, MODESTO, CA, 953554201
- Phone
- (209) 524-1211
Specialties & Taxonomies
Allergy & Immunology, Allergy
Primary License: CA #A31444
Pediatrics
License: CA #A31444