DR. Genevieve Rebecca Wallace, MD

NPI #1750560579 in Louisville, Colorado

Provider Information

NPI Number: 1750560579
Entity Type: Individual
Name: DR. Genevieve Rebecca Wallace, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Oct 29, 2007
Last Updated: Jun 2, 2022

Practice Location

Address: 1056 S 88TH ST
City: Louisville
State: Colorado
ZIP Code: 80027-9460
Phone: (303) 442-6647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Dermatopathology — Dermatopathology	207ZD0900X
Dermatology	207N00000X	Primary

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