Individual provider · Type 1 NPI

Laura Ann Wallace, MD

Emergency Medicine Physician · St. Louis, MO

NPI number 1407119779 Active

Practice location

400 S Kingshighway Blvd, Dept Emergency Med
St. Louis, MO 63110-1014

Call (314) 362-9123 Map

Fax (314) 747-3338

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X2014041289 (MO)
Emergency Medicine Physician Primary 207P00000X2014041289 (MO)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1407119779

Laura Ann Wallace, MD's National Provider Identifier is 1407119779, issued on Jun 20, 2012. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.