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

DR. TRENTON WALLACE

Active Sole Proprietor

DR. TRENTON WALLACE is a Foot & Ankle Surgery Podiatrist healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1861633539 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · OKLAHOMA CITY, OK

Registration Details

NPI Number
1861633539
Provider Type
Individual
Gender
Male
NPI Issued
Mar 10, 2009 (17.473559615361 yrs)
Last Updated
Jan 20, 2016
License
292 (OK)
Sole Proprietor
Yes

Practice Information

Address
608 NW 9TH ST
#4210
OKLAHOMA CITY, OK, 731021068
Browse OK providers · Browse ZIP 73102
Phone
4054468290
Fax
4056018298
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in OKLAHOMA CITY, OK

Name Credential NPI
DR. DARREN DEAN ELENBURG DPM 1548269459
DR. MICHAEL K WILSON DPM 1982606331
RICHARD JOSEPH TRACZYK II DPM 1609869494
DR. PETER QUOC LE DPM 1306827894
DR. TIMOTHY NEYLON DPM 1184697005
TIMOTHY D THOMAS DPM 1023122124
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.