Individual provider · Type 1 NPI
David Wallace, PA-C
Surgical Physician Assistant · Stamford, CT
NPI number
1720646672
Active
Practice location
1 Hospital Plz
Stamford, CT 06902-3602
Other practice locations
- 34 Maple St, Norwalk, CT 06850-3894 · (203) 852-2000
- 130 Division St, Derby, CT 06418-1326 · (203) 732-1330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 4572 (CT) |
Surgical Physician Assistant: Definition to come...
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- Abigail CamenischStudent in an Organized Health Care Education/Training Program Stamford, CT NPI 1184411084
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- Ahmed-Zayn Mohamed, MDStudent in an Organized Health Care Education/Training Program Stamford, CT NPI 1346982808
Other surgical physician assistant providers in Stamford
- Krista Ann Ulrich, PHYSICIAN ASSISTANTSurgical Physician Assistant Stamford, CT NPI 1003399213
- Jeffrey Hamrlicek, PA-CSurgical Physician Assistant Stamford, CT NPI 1003486028
- Gregory Jude Jenkins, PASurgical Physician Assistant Stamford, CT NPI 1023205358
- Allison Brooke Luntz, PA-CSurgical Physician Assistant Stamford, CT NPI 1043947476
- Diane Goodwin, PA-CSurgical Physician Assistant Stamford, CT NPI 1053467605
- Sean Vincent RothenburgerSurgical Physician Assistant Stamford, CT NPI 1083188981
- Barbara C. Kohn, PA-CSurgical Physician Assistant Stamford, CT NPI 1104947969
- Arthur Shimunov, PASurgical Physician Assistant Stamford, CT NPI 1124595889
About NPI 1720646672
David Wallace, PA-C's National Provider Identifier is 1720646672, issued on Jun 4, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stamford, CT. The record was last updated on Sep 28, 2021.