Individual provider · Type 1 NPI

Donald R. Wallace, MD

Emergency Medicine Physician · Peoria, IL

NPI number 1700899788 Active

Practice location

5114 N Glen Park Place Rd
Peoria, IL 61614-4686

Call (309) 683-6600 Map

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X036-077680 (IL)

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 1700899788

Donald R. Wallace, MD's National Provider Identifier is 1700899788, issued on Aug 14, 2006. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Peoria, IL. The record was last updated on Jul 29, 2010.