Jamie Russelle Wallace
MD | Pediatrics | Female
Jamie Russelle Wallace, MD is a Scottsdale, Arizona based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jamie Russelle Wallace is
10752 N 89th Pl, #126, Scottsdale, Arizona - 85260. She can be contacted on phone at
480-860-1161 and fax number 480-860-6561.
Jamie Russelle Wallace is a sole proprietor of her business.
NPI number (Unique professional ID) for Jamie Russelle Wallace is
1023066354 which was assigned by NPPES on 05 May, 2006 and it was last updated on 21 Jul, 2022.
Jamie Russelle Wallace license number is
12810 for Pediatrics (208000000X) in Arizona.
Jamie Russelle 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:
Jamie Russelle Wallace basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jamie Russelle Wallace |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jamie Russelle 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 : | 10752 N 89th Pl, #126
Scottsdale, AZ, 85260
United States |
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| Phone Number : | 480-860-1161 |
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| Fax Number : | 480-860-6561 |
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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 : | 1023066354 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 May, 2006 |
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| Last Updated On : | 21 Jul, 2022 |
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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 Jamie Russelle Wallace are as mentioned. Primary taxonomy code for Jamie Russelle Wallace, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 12810 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Jamie Russelle Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 226143-001 | MEDICAID | AZ | |
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 : | 10752 N 89th Pl, #126
Scottsdale, AZ, 85260
United States |
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| Phone Number : | 480-860-1161 |
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| Fax Number : | 480-860-6561 |
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Business Location:
Patients can refer following map for directions to
Jamie Russelle 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.