Jeffrey W Wallace PA-C

  • NPI 1649479171
According to our database, the NPI number for Jeffrey W Wallace PA-C is 1649479171 and activated since 16 years ago. Jeffrey W Wallace PA-C is an individual provider who specializes in Medical, and the primary practice location is 1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385. You can also contact Jeffrey W Wallace PA-C via telephone number is (636) 332-8477. Provider NPI information was last updated on 12/14/2020.

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Overview of Jeffrey W Wallace PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/14/2007
  • Last updated: 12/14/2020

Primary Scrop of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: 2005024101
  • License State: MO

Provider Mailing Address

  • Address: 112 Piper Hill Dr
    First Floor
    Saint Peters, MO 63376
  • Phone: 636-441-3444
  • Fax: 636-441-9832

Provider Practice Location

  • Address: 1601 Wentzville Pkwy Ste 117
    Wentzville, MO 63385
  • Phone: 636-332-8477
  • Fax:

Scope of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: 2005024101
  • License State: MO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 2005024101
  • Identifier Type: Other
  • Identifier State: MO
  • Issuer: LICENSE

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 Jeffrey W Wallace PA-C?
  • A: The npi number for Jeffrey W Wallace PA-C is 1649479171.
  • Q: What are Jeffrey W Wallace PA-C's specialties?
  • A: Jeffrey W Wallace PA-C's specialties are Medical and different specialities.
  • Q: What is the medical license for Jeffrey W Wallace PA-C?
  • A: The medical license number for Jeffrey W Wallace PA-C is 2005024101 and issued in MO in USA.
  • Q: Where is Jeffrey W Wallace PA-C practice location?
  • A: Jeffrey W Wallace PA-C is practicing at 1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385.
  • Q: How to contact Jeffrey W Wallace PA-C?
  • A: You can contact Jeffrey W Wallace PA-C via 636-332-8477.