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Jeffrey Wallace, PA-C
NPI 1649479171 · on the registry since 2007
Practice
- Address
- 1601 Wentzville Pkwy Ste 117
Wentzville, MO 63385 - Phone
- (636) 332-8477
- Organisation at this address
- St Peters Bone & Joint Surgery Inc.
South County Anesthesia Associates, LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 112 Piper Hill Dr, Saint Peters, MO
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Medical Physician Assistant
Surgical Physician Assistant - Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-24
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