Jennifer Wallace is a Pediatrics in Gilbert, Arizona. Jennifer Wallace practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jennifer Wallace is 1912977885. The last update date is 2007-07-08.
Jennifer Wallace's current location address is 2550 E Guadalupe Rd, Gilbert, Arizona. You can contact this provider via phone number 4806321544 and fax number 4806321533. The mailing address for Jennifer Wallace is 2550 E Guadalupe Rd, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Wallace |
|---|---|
| Address | 2550 E Guadalupe Rd, Gilbert, Arizona |
| Phone Number | 4806321544 |
| Fax Number | 4806321533 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912977885 |
|---|---|
| Provider Enumeration Date | 2006-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2550 E Guadalupe Rd |
|---|---|
| City | Gilbert |
| State | Arizona (AZ) |
| Post Code | 852345114 |
| Phone Number | 4806321544 |
| Fax Number | 4806321533 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 31229 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31229 | AZ | MAYO INSURANCE | |
| 8311240 | AZ | DEPT. OF ECONOMIC SECURIT | |
| 831124 | AZ | -- | |
| AZ0734620 | AZ | BLUE CROSS BLUE SHIELD | |
| 1Z9881 | AZ | HEALTHNET | |
| 24623 | AZ | BANNER HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jennifer Wallace by the Centers for Medicare & Medicaid Services?
The Jennifer Wallace has been assigned the NPI (National Provider Identifier) 1912977885 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jennifer Wallace is physically located?
The Jennifer Wallace is physically situated at the following address: 2550 E Guadalupe Rd, Gilbert, AZ, 852345114.
What is Jennifer Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer Wallace is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Jennifer Wallace receive its 1912977885 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Wallace was assigned its 1912977885 by the Centers for Medicare & Medicaid Services on 2006-01-24.
When was the information related to Jennifer Wallace most recently updated or refreshed?
The details pertaining to the Jennifer Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.