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

TIFFANY R WALLACE

Active

TIFFANY R WALLACE is a Foot & Ankle Surgery healthcare provider located in MONTGOMERY, West Virginia. NPI 1417563735 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · MONTGOMERY, WV

Registration Details

NPI Number
1417563735
Provider Type
Individual
Gender
Female
NPI Issued
Sep 22, 2020 (5.8778893417801 yrs)
Last Updated
Dec 23, 2022

Practice Information

Address
78 4TH AVE APT 3
MONTGOMERY, WV, 251362434
Browse WV providers · Browse ZIP 25136
Phone
6819454333
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in MONTGOMERY, WV

Name Credential NPI
JAMIE CRINER 1194336230
PATRICK J FLANERY 1205442050
JAZMYN MITCHELL 1063003309
CODY A NANCE 1730844648
JAMIE RAY THOMPSON 1952031833
JESSICA JANE COX 1922839950
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.