Search › Iowa › 207Q00000X
Emmett Wallace, DO
NPI 1215992334 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1019 Broadlawn Avenue
Bettendorf, IA 52722 - Phone
- (563) 359-1181
- Fax
- (563) 386-3177
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X - Licence states on file
- IA, MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-06
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 Iowa