Jeffrey Leigh Wallace, MD

NPI #1548262108 in Fairhope, Alabama

Provider Information

NPI Number: 1548262108
Entity Type: Individual
Name: Jeffrey Leigh Wallace, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Aug 12, 2005
Last Updated: Oct 10, 2016

Practice Location

Address: 411 N SECTION ST
City: Fairhope
State: Alabama
ZIP Code: 36532-2649
Phone: (251) 928-9090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preventive Medicine - Undersea and Hyperbaric Medicine — Undersea and Hyperbaric Medicine	2083P0011X
Surgery	208600000X	Primary
General Practice	208D00000X

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