Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER WALLACE, M.D.
ActivePediatrics · GILBERT, AZ
Registration Details
- NPI Number
- 1912977885
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2006 (20.301161757422 yrs)
- Last Updated
- Jul 8, 2007
- License
-
31229 (AZ)
Practice Information
- Address
-
2550 E GUADALUPE RD#115GILBERT, AZ, 852345114Browse AZ providers · Browse ZIP 85234
- Phone
- 4806321544
- Fax
- 4806321533
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in GILBERT, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTINE PHILLIPS HOLMES | MD | 1679571285 |
| ANGELA S FILLER | M.D. | 1972593580 |
| WENDY LORENZEN | M.D. | 1386634954 |
| ALICIA MARTINEZ | M.D. | 1609866961 |
| DEAN STEPHEN MOUSSER | MD | 1770561656 |
| DEANNA HALLER | DO | 1386624302 |
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.