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David Wallace

NPI 1235099094 · on the registry since 2025 · sole proprietor

Practice

Address
13919 S Plz
Omaha, NE 68137
Phone
(402) 896-9988
Organisation at this address
Mosaic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
172

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
372600000X
Sex
Male
Record last updated
2025-11-25

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 Nebraska