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Dr. Heather A Wallace, DSC,PA-C
Physician Assistant in Indianapolis, Indiana
NPI 1821342106

Heather A Wallace is a Physician Assistant based in Xenia, IN. Heather A Wallace practices in Indianapolis, IN and has the professional credentials of DSC,PA-C. The NPI Number for Heather A Wallace is 1821342106 and holds a License No. 0110004235 (Indiana).

The current practice location address for Heather A Wallace is 1701 N Senate Blvd, Indianapolis, IN and can be reached out via phone at 317-962-0582 and via fax at 317-962-2082.

Location: 1701 N Senate Blvd, Indianapolis, IN, 45385-8703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821342106
Provider Name
Heather A Wallace
Credential
DSC,PA-C
Provider Entity Type
Individual
Gender
Female
Address
1701 N Senate Blvd, Indianapolis, IN, 45385-8703
Phone Number
317-962-0582
Fax Number
317-962-2082
Provider Enumeration Date
11/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300077904 05 IN
233690187 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1701 N Senate Blvd
City
Indianapolis
State
Indiana
Zip
46202-1239
Phone Number
317-962-0582
Fax Number
317-962-2082
person
Provider Business Mailing Address Details
Address
1701 N Senate Blvd
City
Indianapolis
State
Indiana
Zip
46202-1239
Phone Number
317-962-0582
Fax Number
317-962-2082
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA61359713 (Washington)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
0110004235 (Virginia)
Definition
Definition to come...
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