IndividualActive
Calvin Wallace, MD
NPI 1922026236 · Family Medicine Physician · Covington, WA
Provider details
- NPI number
- 1922026236
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00024602 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
17700 Se 272nd St
Covington, WA 98042-4951
Phone: (253) 372-7128
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5299
Tacoma, WA 98415-0299
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2010-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.