DARCIE WALLACE, PA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1083648489
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | 118539 (MO) |
Frequently Asked Questions
NPI 1083648489 is the National Provider Identifier for DARCIE WALLACE, PA-C, a Physician Assistant - Surgical provider located in Saint Louis, MO. This NPI was enumerated on July 10, 2006.
DARCIE WALLACE, PA-C practices at 615 S NEW BALLAS RD, Saint Louis, MO 63141.
Quick Facts
- NPI
- 1083648489
- Type
- Individual
- Enumerated
- Jul 10, 2006
- Last Updated
- Oct 22, 2014
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