Individual provider · Type 1 NPI

Sharon K. Wallace, MD

Diagnostic Radiology Physician · Cape Girardeau, MO

NPI number 1629023239 Active

Practice location

70 Doctors' Park
Cape Girardeau, MO 63703

Call (573) 334-6071 Map

Fax (573) 334-4739

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XD0063205 (MD)
Diagnostic Radiology Physician Primary 2085R0202X2009008972 (MO)
Neuroradiology Physician 2085N0700X2009008972 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1629023239

Sharon K. Wallace, MD's National Provider Identifier is 1629023239, issued on May 23, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Cape Girardeau, MO. The record was last updated on Dec 4, 2013.