DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAUREEN MARY WALLACE, PA-C

Active

MAUREEN MARY WALLACE, PA-C is a Medical Physician Assistant healthcare provider located in SHOW LOW, Arizona. NPI 1073559399 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · SHOW LOW, AZ

Registration Details

NPI Number
1073559399
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2006 (20.159746153213 yrs)
Last Updated
Jun 14, 2023
License
3191 (AZ)

Practice Information

Address
2500 E HUNT DR STE H-J
SHOW LOW, AZ, 859017954
Browse AZ providers · Browse ZIP 85901
Phone
9285376937
Fax
9285373977
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in SHOW LOW, AZ

Name Credential NPI
MR. DAVID O NETZ PA-C 1407828528
DAVID M HALL PA 1952359929
MR. CURTIS VANCE BIRDNO PA-C 1063740884
MR. JASON FRANK PACE PA 1932423381
MICHAEL J SASSMANN PA-C 1295049914
HEATH ARNOLD LINDSEY PA-C 1578048708
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.