Jeffrey W Wallace is a Medical Physician Assistant based in Saint Peters, MO and is specialized in Medical. Jeffrey W Wallace practices in Wentzville, MO and has the professional credentials of PA-C. The NPI Number for Jeffrey W Wallace is 1649479171 and holds a License No. 2005024101 (Missouri).
The current practice location address for Jeffrey W Wallace is 1601 Wentzville Pkwy Ste 117, Wentzville, MO and can be reached out via phone at 636-332-8477.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005024101 | 01 | MO | LICENSE |
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