person
Ms. Paula M. Wallace, PA
Surgical Physician Assistant in Monroe, Louisiana
NPI 1689698490

Paula M. Wallace is a Surgical Physician Assistant based in Monroe, LA and is specialized in Surgical. Paula M. Wallace practices in Monroe, LA and has the professional credentials of PA. The NPI Number for Paula M. Wallace is 1689698490 and holds a License No. P.A.A10590.RX (Louisiana).

The current practice location address for Paula M. Wallace is 212 Walnut St, Monroe, LA and can be reached out via phone at 318-323-1809 and via fax at 318-323-2668. You can also correspond with Paula M. Wallace through the mailing address at 312 GRAMMONT ST STE 404, MONROE, LA - 71201-7403 (mailing address contact number: 318-323-1809).

Location: 212 Walnut St, Monroe, LA, 71201-7403
person
Provider Profile Details
NPI Number
1689698490
Provider Name
Paula M. Wallace
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
212 Walnut St, Monroe, LA, 71201-7403
Phone Number
318-323-1809
Fax Number
318-323-2668
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1429112 05 LA
institution
Provider Business Practice Location Address Details
Address
212 Walnut St
City
State
Zip
71201-6707
Phone Number
318-323-1809
Fax Number
318-323-2668
person
Provider Business Mailing Address Details
Address
312 Grammont St Ste 404
City
State
Zip
71201-7403
Phone Number
318-323-1809
Fax Number
318-323-2668
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
P.A.A10590.RX (Louisiana)
Definition
Definition to come...
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