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

DR. SUEMOY S WALLACE, M.D.

Active

DR. SUEMOY S WALLACE, M.D. is a Specialist healthcare provider located in PHOENIX, Arizona. NPI 1184850885 is currently active in the NPPES registry. Verify at CMS.

Specialist · PHOENIX, AZ

Registration Details

NPI Number
1184850885
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2009 (17.177803119086 yrs)
Last Updated
Feb 16, 2026
Licenses
49311 (AZ)
49311 (AZ)
49311 (AZ)
49311 (AZ)
49311 (AZ)

Practice Information

Address
1010 E MCDOWELL RD STE 103
PHOENIX, AZ, 850062607
Browse AZ providers · Browse ZIP 85006
Phone
8009916117
Fax
8888128191
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist
Additional Specialty
General Surgery
Additional Specialty
202K00000X
Additional Specialty
Surgical Critical Care

Other Specialist Providers in PHOENIX, AZ

Name Credential NPI
DR. STANLEY A GERING M.D. 1154324051
STEPHEN GLOUBERMAN MD 1558363747
DR. RONALD J HAUPTMAN MD 1699779074
DR. JOHN J WELLS MD 1043214422
DR. ISMAR CINTORA M.D. 1386649796
SCOTT JAMES CRAWFORD MD 1689679862
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.