JERALD WALLACE, M.D.
Surgery
Active
Individual
NPI: 1730591017
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery | 208600000X | Yes | 49437 (KY) |
Frequently Asked Questions
NPI 1730591017 is the National Provider Identifier for JERALD WALLACE, M.D., a Surgery provider located in Lexington, KY. This NPI was enumerated on May 21, 2014.
JERALD WALLACE, M.D. practices at 800 ROSE ST, C246, Lexington, KY 40536.
Quick Facts
- NPI
- 1730591017
- Type
- Individual
- Enumerated
- May 21, 2014
- Last Updated
- Jul 7, 2016
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