Search › Missouri › 207ZP0102X
Mckenzie Wallace, MD
NPI 1548019946 · on the registry since 2024
Practice
- Address
- M263 Medical Science Building One Hospital Drive
Columbia, MO 65212 - Phone
- (573) 882-3014
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-24
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