Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN BLAKE WALLACE, MD
ActiveSTEPHEN BLAKE WALLACE, MD is a Sports Medicine (Orthopaedic) healthcare provider located in DENVER, Colorado. NPI 1205222502 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · DENVER, CO
Registration Details
- NPI Number
- 1205222502
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2015 (11.324132010531 yrs)
- Last Updated
- Jul 29, 2020
- License
-
DR.0063577 (CO)
Practice Information
- Address
-
3055 ROSLYN ST UNIT 200DENVER, CO, 802383324Browse CO providers · Browse ZIP 80238
- Phone
- 3037247378
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
Other Sports Medicine (Orthopaedic) Providers in DENVER, CO
| Name | Credential | NPI |
|---|---|---|
| KEVIN KARTHIK NAGAMANI | M.D. | 1174521496 |
| MARK H PERLMAN | MD | 1679509566 |
| ERIC LINDBERG | M.D. | 1972604916 |
| DR. JEFFREY R JOCKEL | MD | 1063535987 |
| DR. MARISSA DANIELS JAMIESON | MD | 1265878599 |
| DR. ADAM MICHAEL FERGUSON | DPM | 1932835709 |
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.