Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB HENRY WALLACE, MD
ActiveDR. JACOB HENRY WALLACE, MD is a Obstetrics & Gynecology healthcare provider located in SAINT LOUIS, Missouri. NPI 1124604061 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1124604061
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2021 (5.3543342906224 yrs)
- Last Updated
- Jul 8, 2025
- License
-
2025027770 (MO)
Practice Information
- Address
-
401 HOLLY HILLS AVESAINT LOUIS, MO, 631112410Browse MO providers · Browse ZIP 63111
- Phone
- 3143535190
- Fax
- 3143537631
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
- Additional Specialty
- Obstetrics & Gynecology
Other Obstetrics & Gynecology Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. LAURA RUTH HULBERT | M.D. | 1366447336 |
| CATHLEEN FARIS-GUYOL | M.D. | 1699770297 |
| MICHELLE R DE VERA | M.D. | 1952306557 |
| KATHLEEN HOGAN | M.D. | 1750386355 |
| HEATHER WUEBKER | M.D. | 1477558070 |
| DR. AMY JO RAVIN | M.D. | 1518963859 |
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.