Emmett Lee Wallace DO

  • NPI 1215992334
According to our database, the NPI number for Emmett Lee Wallace DO is 1215992334 and activated since 18 years ago. Emmett Lee Wallace DO is an individual provider who specializes in Family Medicine, and the primary practice location is 1019 Broadlawn Avenue, Bettendorf, IA 52722. You can also contact Emmett Lee Wallace DO via telephone number is (563) 359-1181. Provider NPI information was last updated on 07/22/2011.

Recently Active NPIs

Overview of Emmett Lee Wallace DO

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/20/2006
  • Last updated: 07/22/2011

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 03652892
  • License State: IL

Provider Mailing Address

  • Address: 1019 Broadlawn Avenue
    Bettendorf, IA 52722
  • Phone: 563-359-1181
  • Fax: 563-386-3177

Provider Practice Location

  • Address: 1019 Broadlawn Avenue
    Bettendorf, IA 52722
  • Phone: 563-359-1181
  • Fax: 563-386-3177

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 03652892
  • License State: IL
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 0047902
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Emmett Lee Wallace DO?
  • A: The npi number for Emmett Lee Wallace DO is 1215992334.
  • Q: What are Emmett Lee Wallace DO's specialties?
  • A: Emmett Lee Wallace DO's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Emmett Lee Wallace DO?
  • A: The medical license number for Emmett Lee Wallace DO is 03652892 and issued in IL in USA.
  • Q: Where is Emmett Lee Wallace DO practice location?
  • A: Emmett Lee Wallace DO is practicing at 1019 Broadlawn Avenue, Bettendorf, IA 52722.
  • Q: How to contact Emmett Lee Wallace DO?
  • A: You can contact Emmett Lee Wallace DO via 563-359-1181.