Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA WALLACE, DO
ActiveSAMANTHA WALLACE, DO is a Family Medicine healthcare provider located in SPRINGFIELD, Missouri. NPI 1821403593 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1821403593
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2014 (12.171535390686 yrs)
- Last Updated
- Nov 10, 2020
- Licenses
-
2015026152 (MO)2014019168 (MO)
Practice Information
- Address
-
3801 S NATIONAL AVESPRINGFIELD, MO, 658075210Browse MO providers · Browse ZIP 65807
- Phone
- 4172697728
- Fax
- 4172697729
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| STEPHEN DENNEY CHRISTIANSEN | M.D. | 1558367003 |
| DR. CHRISTOPHER W BILLINGS | DO | 1124024864 |
| DR. JACKIE BEENE | MD | 1841296548 |
| IAN LESTER FAWKS | DO | 1386640910 |
| JONATHAN CLARK | — | 1164415204 |
| DR. RAFAEL SANTIAGO | M.D. | 1174517825 |
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.