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Search › Colorado › 208000000X

Stephanie Wallace, MD

NPI 1841289022 · on the registry since 2005

Practice

Address
2405 Research Parkway
Colorado Springs, CO 80918
Phone
(719) 522-1134
Fax
(719) 598-7229
Organisation at this address
Optumcare Colorado Medical Group Llc
Optumcare Colorado Medical Group Llc
Optumcare Colorado Medical Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-06

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 Colorado