Search › Missouri › 207Q00000X
Mikaila Wallace, DO
NPI 1023687217 · on the registry since 2021
Practice
- Address
- 2016 S Main St
Maryville, MO 64468 - Phone
- (660) 562-2525
- Fax
- (660) 562-7996
- Organisation at this address
- Nodaway Physician Services, Llc
Wasif Almuttar,Md,Anes.Svc.,P.C.
Mosaic Medical Center - Maryville
Mosaic Medical Center - Maryville
Mosaic Medical Center - MaryvilleInferred from a shared address, not stated in the registry. - Clinicians at this address
- 52
Additional practice sites
- 4600 Valley Rd Ste 200, Lincoln, NE
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- MO, NE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri