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Bradley Wallace, M.D
NPI 1881038115 · on the registry since 2013
Practice
- Address
- 1400 E Boulder St Ste 500
Colorado Springs, CO 80909 - Phone
- (719) 364-6487
- Organisation at this address
- Uch-Mhs
Uch-Mhs
Uch-Mhs
Uch-Mhs
Memorial HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 610
Additional practice sites
- 13001 E. 17th Place, Aurora, CO
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-23
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