Individual provider · Type 1 NPI

Stephen Blake Wallace, MD

Orthopaedic Foot and Ankle Surgery Physician · Denver, CO

NPI number 1205222502 Active

Practice location

3055 Roslyn St Unit 200
Denver, CO 80238-3324

Mailing address

10361 E 28th Pl
Denver, CO 80238-3051

Other practice locations

  • 5323 Harry Hines Blvd, Dallas, TX 75390-7201 · (214) 648-0253

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Foot and Ankle Surgery Physician Primary 207XX0004XDR.0063577 (CO)

Orthopaedic Foot and Ankle Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

9 other providers at this address

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About NPI 1205222502

Stephen Blake Wallace, MD's National Provider Identifier is 1205222502, issued on Apr 13, 2015. The primary taxonomy on file is Orthopaedic Foot and Ankle Surgery Physician (207XX0004X), and the practice location is in Denver, CO. The record was last updated on Jul 29, 2020.