Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID WALLACE, M.D.
ActiveCardiovascular Disease · BELLEVILLE, IL
Registration Details
- NPI Number
- 1609804525
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2006 (19.878755334502 yrs)
- Last Updated
- Apr 17, 2017
- License
-
036092919 (IL)
Practice Information
- Address
-
340 W LINCOLN STBELLEVILLE, IL, 622201900Browse IL providers · Browse ZIP 62220
- Phone
- 6182336044
- Fax
- 6182333287
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
Other Cardiovascular Disease Providers in BELLEVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| SUNIL DARBARI | MD | 1932197290 |
| DR. CRAIG S VINCH | MD | 1275515561 |
| DR. SULTAN A HAYAT | MD | 1548248453 |
| DR. SYED ABDUL-AZIZ | MD | 1114906005 |
| DR. MICHAEL J FLEISSNER | MD | 1942289459 |
| HENRY MATTIS | M.D. | 1932139292 |
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.