JEFFREY WALLACE, MD

Surgery

Active Individual
NPI: 1548262108

Practice Address

411 N SECTION ST
Fairhope, AL 36532

Phone: (251) 928-9090

Specialties

Specialty Code Primary License
Preventive Medicine - Undersea and Hyperbaric Medicine 2083P0011X No 29105 (AL)
Surgery 208600000X Yes 29105 (AL)
General Practice 208D00000X No MD29105 (AL)

Frequently Asked Questions

NPI 1548262108 is the National Provider Identifier for JEFFREY WALLACE, MD, a Surgery provider located in Fairhope, AL. This NPI was enumerated on August 12, 2005.
JEFFREY WALLACE, MD practices at 411 N SECTION ST, Fairhope, AL 36532.

Quick Facts

NPI
1548262108
Type
Individual
Enumerated
Aug 12, 2005
Last Updated
Oct 10, 2016

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