Individual provider · Type 1 NPI

Mikaila Wallace, DO

Family Medicine Physician · Maryville, MO

NPI number 1023687217 Active

Practice location

2016 S Main St
Maryville, MO 64468-2655

Call (660) 562-2525 Map

Fax (660) 562-7996

Other practice locations

  • 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 · (402) 327-6921

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X2024030678 (MO)
Family Medicine Physician 207Q00000XTEP9082 (NE)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

59 other providers at this address

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About NPI 1023687217

Mikaila Wallace, DO's National Provider Identifier is 1023687217, issued on Jun 22, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Maryville, MO. The record was last updated on May 12, 2025.