Mr. Gregory Hall Wallace
DO | Pediatrics | Male
Mr. Gregory Hall Wallace, DO is a Norwood, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Gregory Hall Wallace is
4623 Wesley Ave, Bmf Pediatric Care Suite G, Norwood, Ohio - 45212. He can be contacted on phone at
513-631-3338 and fax number 513-631-3385.
Mr. Gregory Hall Wallace is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Gregory Hall Wallace is
1346284957 which was assigned by NPPES on 15 Jun, 2006 and it was last updated on 08 Jul, 2007.
Mr. Gregory Hall Wallace license number is
34008036W for Pediatrics (208000000X) in Ohio.
Mr. Gregory Hall 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:
Mr. Gregory Hall Wallace basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mr. Gregory Hall Wallace |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Mr. Gregory Hall 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 : | 4623 Wesley Ave, Bmf Pediatric Care Suite G
Norwood, OH, 45212
United States |
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| Phone Number : | 513-631-3338 |
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| Fax Number : | 513-631-3385 |
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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 : | 1346284957 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Jun, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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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 Mr. Gregory Hall Wallace are as mentioned. Primary taxonomy code for Mr. Gregory Hall Wallace, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 34008036W | OH |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Gregory Hall Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2442986 | MEDICAID | OH | |
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 : | Po Box 640220
Cincinnati, OH, 45264-0220
United States |
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| Phone Number : | 513-281-8000 |
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| Fax Number : | 513-281-5221 |
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Business Location:
Patients can refer following map for directions to
Mr. Gregory Hall 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. Last updated on 08 January, 2024.