person
B J Wallace
General Practice Physician in Englewood, Colorado
NPI 1518001312

B J Wallace is a General Practice Physician based in Englewood, CO. B J Wallace practices in Englewood, CO. The NPI Number for B J Wallace is 1518001312 and holds a License No. 11470 (Colorado).

The current practice location address for B J Wallace is 2955 S Broadway, Englewood, CO and can be reached out via phone at 303-788-1124. You can also correspond with B J Wallace through the mailing address at 2955 S BROADWAY, ENGLEWOOD, CO - 80113-1526 (mailing address contact number: 303-788-1124).

Location: 2955 S Broadway, Englewood, CO, 80113-1526
person
Provider Profile Details
NPI Number
1518001312
Provider Name
B J Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
2955 S Broadway, Englewood, CO, 80113-1526
Phone Number
303-788-1124
Fax Number
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005083 01 KAISER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
2955 S Broadway
City
State
Zip
80113-1526
Phone Number
303-788-1124
Fax Number
person
Provider Business Mailing Address Details
Address
2955 S Broadway
City
State
Zip
80113-1526
Phone Number
303-788-1124
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
11470 (Colorado)
Definition
Definition to come...
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