Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark D Wallace, MD

Individual provider Diagnostic Radiology Physician · NPI 1689690091

Mark D Wallace, MD is a Diagnostic Radiology Physician in Redding, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2020 Court St
Redding, CA 96001-1822
Phone: (530) 243-1236
Fax: (530) 243-8502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G31736 (CA)

Record details

NPI number1689690091
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESJuly 8, 2007

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