Lewis Alfred Wallace in Ada - Internal Medicine
Lewis Alfred Wallace - NPI 1942292271
Lewis Alfred Wallace is a Internal Medicine in Ada, Oklahoma. Lewis Alfred Wallace practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lewis Alfred Wallace is 1942292271. The last update date is 2016-09-14.
Lewis Alfred Wallace's current location address is 1921 Stonecipher Blvd, Ada, Oklahoma. You can contact this provider via phone number 5804214570. The mailing address for Lewis Alfred Wallace is 1921 Stonecipher Blvd, Ada, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lewis Alfred Wallace |
|---|---|
| Address | 1921 Stonecipher Blvd, Ada, Oklahoma |
| Phone Number | 5804214570 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1942292271 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2016-09-14 |
Provider Mailing Address Detail
| Address | 1921 Stonecipher Blvd |
|---|---|
| City | Ada |
| State | Oklahoma (OK) |
| Post Code | 74820 |
| Phone Number | 5804214570 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 3060 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code assigned to Lewis Alfred Wallace by the Centers for Medicare & Medicaid Services?
The Lewis Alfred Wallace has been issued the NPI (National Provider Identifier) 1942292271, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lewis Alfred Wallace is located?
The Lewis Alfred Wallace is situated at the following address: 1921 Stonecipher Blvd, Ada, OK, 74820.
What is Lewis Alfred Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lewis Alfred Wallace is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942292271 to Lewis Alfred Wallace?
The Lewis Alfred Wallace received its 1942292271 assignment from the Centers for Medicare & Medicaid Services on 2005-08-23.
When was the information pertaining to Lewis Alfred Wallace most recently updated or revised?
The details related to Lewis Alfred Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2016-09-14.