Sharon K Wallace in Cape Girardeau - Neuroradiology
Sharon K Wallace - NPI 1629023239
Sharon K Wallace is a Neuroradiology in Cape Girardeau, Missouri. Sharon K Wallace practices all healthcare services and medical treatments related to Neuroradiology. The NPI Number for Sharon K Wallace is 1629023239. The last update date is 2013-12-04.
Sharon K Wallace's current location address is 70 Doctors' Park, Cape Girardeau, Missouri. You can contact this provider via phone number 5733346071 and fax number 5733344739. The mailing address for Sharon K Wallace is 70 Doctors' Park, Cape Girardeau, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sharon K Wallace |
|---|---|
| Address | 70 Doctors' Park, Cape Girardeau, Missouri |
| Phone Number | 5733346071 |
| Fax Number | 5733344739 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629023239 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2013-12-04 |
Provider Mailing Address Detail
| Address | 70 Doctors' Park |
|---|---|
| City | Cape Girardeau |
| State | Missouri (MO) |
| Post Code | 63703 |
| Phone Number | 5733346071 |
| Fax Number | 5733344739 |
Provider's Primary Taxonomy Detail
| Speciality | Neuroradiology |
|---|---|
| Taxonomy | 2085N0700X |
| Licence No | 2009008972 |
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Definition: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| KDA7 / 645989-0 | MD | BC / BS OF MD | |
| S187 / 0024 | MD | BLUECHOICE | |
| 408165000 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Sharon K Wallace by the Centers for Medicare & Medicaid Services?
The Sharon K Wallace has been assigned the NPI (National Provider Identifier) 1629023239 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Sharon K Wallace?
The Sharon K Wallace is situated at 70 Doctors' Park, in the city of Cape Girardeau, state of MO, with the zip code 63703.
What is Sharon K Wallace's area of expertise and its corresponding taxonomy classification?
The Sharon K Wallace's field of specialization is Neuroradiology, and it falls under the taxonomy code 2085N0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Sharon K Wallace receive its 1629023239 assignment from the Centers for Medicare & Medicaid Services?
The Sharon K Wallace was assigned its 1629023239 on 2006-05-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Sharon K Wallace last refreshed?
The information related to the Sharon K Wallace, including its address, specialty, and other relevant details, was last updated on 2013-12-04.