Colleen Michelle Wallace
M.D. | Pediatrics | Female
Colleen Michelle Wallace, M.D. is a Falls Church, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Colleen Michelle Wallace is
3300 Gallows Rd, Falls Church, Virginia - 22042-3307. She can be contacted on phone at
703-776-7834.
Colleen Michelle Wallace is a sole proprietor of her business.
NPI number (Unique professional ID) for Colleen Michelle Wallace is
1255627469 which was assigned by NPPES on 26 Jun, 2011 and it was last updated on 25 Jun, 2018.
Colleen Michelle Wallace license number is
D78050 for Pediatrics (208000000X) in Maryland.
Colleen Michelle Wallace is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Colleen Michelle Wallace basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Colleen Michelle Wallace |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Colleen Michelle Wallace address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3300 Gallows Rd
Falls Church, VA, 22042-3307
United States |
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| Phone Number : | 703-776-7834 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1255627469 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jun, 2011 |
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| Last Updated On : | 25 Jun, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Colleen Michelle Wallace are as mentioned. Primary taxonomy code for Colleen Michelle Wallace, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | D78050 | MD |
| 208000000X | Pediatrics | No | 0116023955 | VA |
| 208M00000X | Hospitalist | No | D78050 | MD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3220 12th St Ne
Washington, DC, 20017-4032
United States |
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| Phone Number : | 504-284-8837 |
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Business Location:
Patients can refer following map for directions to
Colleen Michelle Wallace practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.