Mark E Wallace MD

  • NPI 1083603088
According to our database, the NPI number for Mark E Wallace MD is 1083603088 and activated since 18 years ago. Mark E Wallace MD is an individual provider who specializes in Family Medicine, and the primary practice location is 1600 23rd Ave, Greeley, CO 80634. You can also contact Mark E Wallace MD via telephone number is (970) 356-2424. Provider NPI information was last updated on 12/20/2010.

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Overview of Mark E Wallace MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/21/2005
  • Last updated: 12/20/2010

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: G056273
  • License State: CA

Provider Mailing Address

  • Address: 1600 23rd Ave
    Greeley, CO 80634
  • Phone: 970-356-2424
  • Fax: 970-346-2774

Provider Practice Location

  • Address: 1600 23rd Ave
    Greeley, CO 80634
  • Phone: 970-356-2424
  • Fax: 970-346-2774

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: G056273
  • License State: CA
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 01320100
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CO
  • 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 Mark E Wallace MD?
  • A: The npi number for Mark E Wallace MD is 1083603088.
  • Q: What are Mark E Wallace MD's specialties?
  • A: Mark E Wallace MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Mark E Wallace MD?
  • A: The medical license number for Mark E Wallace MD is G056273 and issued in CA in USA.
  • Q: Where is Mark E Wallace MD practice location?
  • A: Mark E Wallace MD is practicing at 1600 23rd Ave, Greeley, CO 80634.
  • Q: How to contact Mark E Wallace MD?
  • A: You can contact Mark E Wallace MD via 970-356-2424.