Alexandra Baltazar Wallace, PA-C

NPI #1740966829 in Phoenixville, Pennsylvania

Provider Information

NPI Number: 1740966829
Entity Type: Individual
Name: Alexandra Baltazar Wallace, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 23, 2023
Last Updated: May 31, 2025

Practice Location

Address: 507 KIMBERTON RD
City: Phoenixville
State: Pennsylvania
ZIP Code: 19460-4745
Phone: (610) 243-9117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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