person
Sharon K Wallace, MD
Neuroradiology Physician in Cape Girardeau, Missouri
NPI 1629023239

Sharon K Wallace is a Neuroradiology Physician based in Cape Girardeau, MO and is specialized in Neuroradiology. Sharon K Wallace practices in Cape Girardeau, MO and has the professional credentials of MD. The NPI Number for Sharon K Wallace is 1629023239 and holds a License No. D0063205 (Missouri).

The current practice location address for Sharon K Wallace is 70 Doctors' Park, Cape Girardeau, MO and can be reached out via phone at 573-334-6071 and via fax at 573-334-4739. You can also correspond with Sharon K Wallace through the mailing address at 70 DOCTORS' PARK, CAPE GIRARDEAU, MO - 63703 (mailing address contact number: 573-334-6071).

Location: 70 Doctors' Park, Cape Girardeau, MO, 63703
person
Provider Profile Details
NPI Number
1629023239
Provider Name
Sharon K Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
70 Doctors' Park, Cape Girardeau, MO, 63703
Phone Number
573-334-6071
Fax Number
573-334-4739
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
KDA7 / 645989-01 01 MD BC / BS OF MD
S187 / 0024 01 MD BLUECHOICE
408165000 05 MD
institution
Provider Business Practice Location Address Details
Address
70 Doctors' Park
City
State
Zip
63703
Phone Number
573-334-6071
Fax Number
573-334-4739
person
Provider Business Mailing Address Details
Address
70 Doctors' Park
City
State
Zip
63703
Phone Number
573-334-6071
Fax Number
573-334-4739
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
2009008972 (Missouri)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
D0063205 (Maryland)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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