Richard B. Wallace, D.O.
Psychiatry Physician · Leesburg, FL
Practice location
215 N 3rd StLeesburg, FL 34748-5105
- Phone
- (352) 315-7900
- Fax
- (352) 315-7587
NPI record
- NPI
- 1457442477
- Entity type
- Individual (Type 1)
- Enumeration date
- September 27, 2006
- Last updated
- April 30, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry Physician Primary | 2084P0800X |
05-22572 | FL |
About Dr. Wallace
Richard B. Wallace, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychiatry Physician (code 2084P0800X). The practice location is 215 N 3rd St, Leesburg, FL 34748-5105. The NPI number 1457442477 was assigned on September 27, 2006 and the record was last updated on April 30, 2019.
Dr. Wallace lists a license in the registry: #05-22572 (FL) for Psychiatry Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Richard B. Wallace, D.O.?
The NPI number is 1457442477.
What is the phone number of Dr. Wallace?
The phone number listed for the practice location is (352) 315-7900.
Where is Dr. Wallace located?
215 N 3rd St, Leesburg, FL 34748-5105.
What is the taxonomy code for Dr. Wallace?
The primary taxonomy code is 2084P0800X – Psychiatry Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Psychiatry Physician providers in Leesburg
- Kranthi Boyapati, MD2020 Talley Rd
- Thomas Valente, MD2020 Talley Rd
- Juan Francisco Rios, MD600 E Dixie Ave
- Brad Broyles, MD2018 Talley Rd
- Nick Maron Ungson, M.D.33057 Professional Dr
- Adil Amaan Mohammed, M.D.104 E Dixie Ave