Suemoy S Wallace M.D.

NPI 1184850885 - Surgery - 208600000X

NPI Details
NPI 1184850885
Gender Female
Enumeration Date 06/09/2009
Last Updated 01/23/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
13677 W MCDOWELL RD
SUITE 201
GOODYEAR AZ, 85395-2635, US
Phone (623) 536-4200
Fax (623) 935-0304
Business Location
13677 W MCDOWELL RD
SUITE 201
GOODYEAR AZ, 85395-2635, US
Phone (623) 536-4200
Fax (623) 935-0304
Toxanomy
Taxonomy Code 208600000X
License State Arizona
License Number 49311
Remove 1184850885 NPI Number
 

According to our database, Dr. Suemoy S Wallace M.D. NPI is 1184850885, taxonomy code is 208600000X and license number is 49311, license state is located at Arizona. Suemoy S Wallace M.D. physically located at 13677 W Mcdowell Rd, Goodyear AZ, 85395-2635. NPI Number Suemoy S Wallace M.D. has the Individual type.

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1184850885 NPI number is provided on an as is basis without warranty of any kind. 1184850885 is maintained by the National Plan & Provider Enumeration System. The contents of Suemoy S Wallace M.D. are for informational purposes only.