Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GENEVIEVE REBECCA WALLACE, MD
ActiveDR. GENEVIEVE REBECCA WALLACE, MD is a Dermatology healthcare provider located in LOUISVILLE, Colorado. NPI 1750560579 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LOUISVILLE, CO
Registration Details
- NPI Number
- 1750560579
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2007 (18.807320238026 yrs)
- Last Updated
- Jun 2, 2022
- Licenses
-
57122 (CO)DR.0057122 (CO)
Practice Information
- Address
-
1056 S 88TH STLOUISVILLE, CO, 800279460Browse CO providers · Browse ZIP 80027
- Phone
- 3034426647
- Fax
- 3034422696
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in LOUISVILLE, CO
| Name | Credential | NPI |
|---|---|---|
| DR. YAN ISABEL ZHU | M.D. | 1528033834 |
| DR. RACHEL NICOLE SIMMONS | M.D. | 1437393485 |
| DR. CHRISTINA S GAMBA | MD | 1992048235 |
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.