Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN A WALLACE, MD
DeactivatedSTEPHEN A WALLACE, MD is a Pain Medicine (Anesthesiology) healthcare provider located in YUMA, Arizona. NPI 1336131044 is deactivated in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · YUMA, AZ
This NPI has been deactivated.
The record was deactivated on March 23, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1336131044
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (0.59452054794521 yrs)
- Last Updated
- Nov 17, 2009
- Deactivated
- Mar 23, 2006
- License
-
13856 (AZ)
Practice Information
- Address
-
2741 S 8TH AVESUITE CYUMA, AZ, 853647154Browse AZ providers · Browse ZIP 85364
- Phone
- 9287260985
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
Other Pain Medicine (Anesthesiology) Providers in YUMA, AZ
| Name | Credential | NPI |
|---|---|---|
| JEREMY SCOTT CURRY | M.D. | 1679658736 |
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.