Search › Missouri › 101YP2500X
Jorge Wallace, PLPC
NPI 1164852422 · on the registry since 2013 · sole proprietor
Practice
- Address
- 6532 Bartmer Ave
2e
Saint Louis, MO 63130 - Phone
- (314) 299-5284
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-26
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