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Bradley Wallace, MD
Student in an Organized Health Care Education/Training Program in Colorado Springs, Colorado
NPI 1881038115

Bradley Wallace is a Student in an Organized Health Care Education/Training Program based in Loveland, CO. Bradley Wallace practices in Colorado Springs, CO and has the professional credentials of MD. The NPI Number for Bradley Wallace is 1881038115 and holds a License No. DR.0063071 (Colorado).

The current practice location address for Bradley Wallace is 1400 E Boulder St Ste 500, Colorado Springs, CO and can be reached out via phone at 719-364-6487.

Location: 1400 E Boulder St Ste 500, Colorado Springs, CO, 80538-9071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881038115
Provider Name
Bradley Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1400 E Boulder St Ste 500, Colorado Springs, CO, 80538-9071
Phone Number
719-364-6487
Fax Number
Provider Enumeration Date
04/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 E Boulder St Ste 500
City
Colorado Springs
State
Colorado
Zip
80909-5533
Phone Number
719-364-6487
Fax Number
person
Provider Business Mailing Address Details
Address
1400 E Boulder St Ste 500
City
Colorado Springs
State
Colorado
Zip
80909-5533
Phone Number
719-364-6487
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
()
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DR.0063071 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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