Individual provider · Type 1 NPI

Jerald Payden Wallace, MD

Surgery Physician · Lexington, KY

NPI number 1730591017 Active

Practice location

800 Rose St, C246
Lexington, KY 40536-0293

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X49437 (KY)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1730591017

Jerald Payden Wallace, MD's National Provider Identifier is 1730591017, issued on May 21, 2014. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Lexington, KY. The record was last updated on Jul 7, 2016.