Dr. Stephanie R Wallace
MD | Pediatrics | Female
Dr. Stephanie R Wallace, MD is a Colorado Springs, Colorado based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Stephanie R Wallace is
2405 Research Parkway, Colorado Springs, Colorado - 80918. She can be contacted on phone at
719-522-1134 and fax number 719-598-7229.
Dr. Stephanie R Wallace is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Stephanie R Wallace is
1841289022 which was assigned by NPPES on 19 Oct, 2005 and it was last updated on 06 Sep, 2018.
Dr. Stephanie R Wallace license number is
DR.0034435 for Pediatrics (208000000X) in Colorado.
Dr. Stephanie R 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. Stephanie R Wallace basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Stephanie R Wallace |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Stephanie R 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 : | 2405 Research Parkway
Colorado Springs, CO, 80918
United States |
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| Phone Number : | 719-522-1134 |
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| Fax Number : | 719-598-7229 |
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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 : | 1841289022 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Oct, 2005 |
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| Last Updated On : | 06 Sep, 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 Dr. Stephanie R Wallace are as mentioned. Primary taxonomy code for Dr. Stephanie R Wallace, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | DR.0034435 | CO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Stephanie R Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01344357 | MEDICAID | CO | |
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 : | 2 S Cascade Ave Ste 140
Colorado Springs, CO, 80903-1604
United States |
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| Phone Number : | 719-866-6568 |
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| Fax Number : | 719-538-2999 |
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Business Location:
Patients can refer following map for directions to
Dr. Stephanie R 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.