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Dr. Maegen J Wallace, MD
Orthopedic Surgery Physician in Phoenix, Arizona
NPI 1235393836

Maegen J Wallace is a Orthopedic Surgery Physician based in Phoenix, AZ. Maegen J Wallace practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Maegen J Wallace is 1235393836 and holds a License No. 28403 (Arizona).

The current practice location address for Maegen J Wallace is 1919 E Thomas Rd, Phoenix, AZ and can be reached out via phone at 602-933-1000.

Location: 1919 E Thomas Rd, Phoenix, AZ, 85016-0008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235393836
Provider Name
Maegen J Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1919 E Thomas Rd, Phoenix, AZ, 85016-0008
Phone Number
602-933-1000
Fax Number
Provider Enumeration Date
07/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1919 E Thomas Rd
City
Phoenix
State
Arizona
Zip
85016-7710
Phone Number
602-933-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1919 E Thomas Rd
City
Phoenix
State
Arizona
Zip
85016-7710
Phone Number
602-933-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
69950 (Arizona)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Pediatric Orthopedic Surgery
Taxonomy
207XP3100X
License No.
2008018502 (Missouri)
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
28403 (Nebraska)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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