Search › Colorado › 207N00000X
Genevieve Wallace, MD
NPI 1750560579 · on the registry since 2007
Practice
- Address
- 1056 S 88th St
Louisville, CO 80027 - Phone
- (303) 442-6647
- Fax
- (303) 442-2696
- Organisation at this address
- Young Dentistry For Children, Llc
Dermatology Specialists Of Boulder, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 207ZD0900X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-02
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 Colorado