JEFFREY WALLACE, PA-C
Physician Assistant
Active
Individual
NPI: 1649479171
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 2005024101 (MO) |
| Physician Assistant - Surgical | 363AS0400X | No | 2005024101 (MO) |
| Physician Assistant | 363A00000X | Yes | 2005024101 (MO) |
Frequently Asked Questions
NPI 1649479171 is the National Provider Identifier for JEFFREY WALLACE, PA-C, a Physician Assistant provider located in Wentzville, MO. This NPI was enumerated on July 14, 2007.
JEFFREY WALLACE, PA-C practices at 1601 WENTZVILLE PKWY STE 117, Wentzville, MO 63385.
Quick Facts
- NPI
- 1649479171
- Type
- Individual
- Enumerated
- Jul 14, 2007
- Last Updated
- Jul 24, 2025
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