person
Jeffrey W Wallace, PA-C
Medical Physician Assistant in Wentzville, Missouri
NPI 1649479171

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. You can also correspond with Jeffrey W Wallace through the mailing address at 112 PIPER HILL DR, SAINT PETERS, MO - 63376-1690 (mailing address contact number: 636-441-3444).

Location: 1601 Wentzville Pkwy Ste 117, Wentzville, MO, 63376-1690
person
Provider Profile Details
NPI Number
1649479171
Provider Name
Jeffrey W Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1601 Wentzville Pkwy Ste 117, Wentzville, MO, 63376-1690
Phone Number
636-332-8477
Fax Number
Provider Enumeration Date
07/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2005024101 01 MO LICENSE
institution
Provider Business Practice Location Address Details
Address
1601 Wentzville Pkwy Ste 117
City
State
Zip
63385-3814
Phone Number
636-332-8477
Fax Number
person
Provider Business Mailing Address Details
Address
1601 Wentzville Pkwy Ste 117
City
State
Zip
63385-3814
Phone Number
636-332-8477
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2005024101 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2005024101 (Missouri)
Definition
Definition to come...
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