Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA FRASER WALLACE, MD
ActiveAMANDA FRASER WALLACE, MD is a Pain Medicine (Anesthesiology) healthcare provider located in GOLDEN, Colorado. NPI 1174750707 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · GOLDEN, CO
Registration Details
- NPI Number
- 1174750707
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2009 (17.163182463513 yrs)
- Last Updated
- Jan 7, 2019
- Licenses
-
DR0052096 (CO)0052096 (CO)
Practice Information
- Address
-
755 HERITAGE RDGOLDEN, CO, 804013600Browse CO providers · Browse ZIP 80401
- Phone
- 3032770700
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
- Additional Specialty
- Pain Medicine (Anesthesiology)
Other Pain Medicine (Anesthesiology) Providers in GOLDEN, CO
| Name | Credential | NPI |
|---|---|---|
| DONNA FLEITZ MITCHELL | M.D. | 1396726436 |
| ROBERT Z MOGHIM | M.D. | 1245282862 |
| DR. DANIEL ALAN DRENNAN | M.D. | 1932387966 |
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.