Individual provider · Type 1 NPI

Darryl Wallace, MD

Gynecologic Oncology Physician · Kansas City, MO

NPI number 1477592210 Active

Practice location

4321 Washington St, Suite 4000
Kansas City, MO 64111-5961

Mailing address

PO Box 504407
St. Louis, MO 63150-4407

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician 207VX0201X415529 (KS)
Gynecologic Oncology Physician Primary 207VX0201XR5048 (MO)

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

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About NPI 1477592210

Darryl Wallace, MD's National Provider Identifier is 1477592210, issued on Jun 6, 2006. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Kansas City, MO. The record was last updated on Oct 11, 2012.