Deborah I Wallace, M.D.

NPI #1184654709 in Louisville, Kentucky

Provider Information

NPI Number: 1184654709
Entity Type: Individual
Name: Deborah I Wallace, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jul 3, 2006
Last Updated: Jan 28, 2021

Practice Location

Address: 3840 RUCKRIEGEL PKWY
Address 2: SUITE 105
City: Louisville
State: Kentucky
ZIP Code: 40299-6835
Phone: (502) 261-7227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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