Individual provider · Type 1 NPI

Carmelle Wallace, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Aurora, CO

NPI number 1467794891 Active

Practice location

13123 E 16th Ave
Aurora, CO 80045-7106

Call (720) 777-1234 Map

Mailing address

1600 7th Ave S
Birmingham, AL 35233-1711

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XMD.41020 (AL)
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204XMD.41020 (AL)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XDR.0068324 (CO)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1467794891

Carmelle Wallace, MD's National Provider Identifier is 1467794891, issued on Mar 24, 2013. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Aurora, CO. The record was last updated on Jun 23, 2022.