Individual provider · Type 1 NPI

Diana Renee Wallace, MD

Obstetrics & Gynecology Physician · Rome, NY

NPI number 1710993845 Active

Practice location

7900 Turin Road, Building 4, Suite 2
Rome, NY 13440-7423

Fax (315) 338-7286

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000XMD 433457 (PA)
Obstetrics & Gynecology Physician Primary 207V00000X255422 (NY)
Obstetrics & Gynecology Physician 207V00000XMD 2015-0031 (NM)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1710993845

Diana Renee Wallace, MD's National Provider Identifier is 1710993845, issued on Jul 31, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Rome, NY. The record was last updated on Nov 5, 2015.