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Darryl Wallace, MD
Gynecologic Oncology Physician in Kansas City, Missouri
NPI 1477592210

Darryl Wallace is a Gynecologic Oncology Physician based in Saint Louis, MO and is specialized in Gynecologic Oncology. Darryl Wallace practices in Kansas City, MO and has the professional credentials of MD. The NPI Number for Darryl Wallace is 1477592210 and holds a License No. 415529 (Missouri).

The current practice location address for Darryl Wallace is 4321 Washington St, Kansas City, MO and can be reached out via phone at 816-932-4549.

Location: 4321 Washington St, Kansas City, MO, 63150-4407
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Provider Profile Details
NPI Number
1477592210
Provider Name
Darryl Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4321 Washington St, Kansas City, MO, 63150-4407
Phone Number
816-932-4549
Fax Number
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201094802 05 MO
33690 01 HEALTHCARE USA
09381035 01 BCBS OF KC
910000367 01 RAILROAD MEDICARE
4602518 01 AETNA
7400202 01 UHC
institution
Provider Business Practice Location Address Details
Address
4321 Washington St
City
State
Zip
64111-5961
Phone Number
816-932-4549
Fax Number
person
Provider Business Mailing Address Details
Address
4321 Washington St
City
State
Zip
64111-5961
Phone Number
816-932-4549
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
License No.
415529 (Kansas)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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