Dr. Jennifer Wallace
M.D. | Pediatrics | Female
Dr. Jennifer Wallace, M.D. is a Gilbert, Arizona based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jennifer Wallace is
2550 E Guadalupe Rd, #115, Gilbert, Arizona - 85234-5114. She can be contacted on phone at
480-632-1544 and fax number 480-632-1533.
Dr. Jennifer Wallace is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jennifer Wallace is
1912977885 which was assigned by NPPES on 24 Jan, 2006 and it was last updated on 08 Jul, 2007.
Dr. Jennifer Wallace license number is
31229 for Pediatrics (208000000X) in Arizona.
Dr. Jennifer 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:
Dr. Jennifer Wallace basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jennifer Wallace |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Jennifer 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 : | 2550 E Guadalupe Rd, #115
Gilbert, AZ, 85234-5114
United States |
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| Phone Number : | 480-632-1544 |
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| Fax Number : | 480-632-1533 |
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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 : | 1912977885 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Jan, 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 Dr. Jennifer Wallace are as mentioned. Primary taxonomy code for Dr. Jennifer Wallace, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 31229 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jennifer Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 831124 | MEDICAID | AZ | |
| 00024623 | Other | AZ | BANNER HEALTH PLAN |
| 1Z9881 | Other | AZ | HEALTHNET |
| AZ0734620 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 031229 | Other | AZ | MAYO INSURANCE |
| 8311240 | Other | AZ | DEPT. OF ECONOMIC SECURIT |
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 : | 6301 S Mcclintock Dr, #101
Tempe, AZ, 85283-3392
United States |
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| Phone Number : | 480-214-2300 |
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| Fax Number : | 480-214-2301 |
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Business Location:
Patients can refer following map for directions to
Dr. Jennifer 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.