Justin Robert Wallace in Greensburg - Vascular Surgery
Justin Robert Wallace - NPI 1033372594
Justin Robert Wallace is a Vascular Surgery in Greensburg, Pennsylvania. Justin Robert Wallace practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Justin Robert Wallace is 1033372594. The last update date is 2023-02-09.
Justin Robert Wallace's current location address is 238 S. Pennsylvania Ave. #775, Greensburg, Pennsylvania. You can contact this provider via phone number 7242783484. The mailing address for Justin Robert Wallace is 238 S. Pennsylvania Ave. #775, Greensburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Robert Wallace |
|---|---|
| Address | 238 S. Pennsylvania Ave. #775, Greensburg, Pennsylvania |
| Phone Number | 7242783484 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033372594 |
|---|---|
| Provider Enumeration Date | 2008-07-05 |
| Last Updated Date | 2023-02-09 |
Provider Mailing Address Detail
| Address | 238 S. Pennsylvania Ave. #775 |
|---|---|
| City | Greensburg |
| State | Pennsylvania (PA) |
| Post Code | 156013661 |
| Phone Number | 7242783484 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | MD443733 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103020618 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Justin Robert Wallace by the Centers for Medicare & Medicaid Services?
The Justin Robert Wallace has been assigned the NPI (National Provider Identifier) 1033372594. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Justin Robert Wallace's facilities are geographically located?
The facilities of Justin Robert Wallace are physically situated at the following location: 238 S. Pennsylvania Ave. #775, Greensburg, PA, 156013661.
What is Justin Robert Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Justin Robert Wallace is Vascular Surgery, and the taxonomy code that classifies this field of practice is 2086S0129X.
On what date did the Justin Robert Wallace receive its 1033372594 assignment from the Centers for Medicare & Medicaid Services?
The Justin Robert Wallace was assigned its 1033372594 by the Centers for Medicare & Medicaid Services on 2008-07-05.
When was the information pertaining to Justin Robert Wallace most recently updated or revised?
The details related to Justin Robert Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2023-02-09.