Individual provider · Type 1 NPI

Alexandra Baltazar Wallace, PA-C

Physician Assistant · Phoenixville, PA

NPI number 1740966829 Active

Practice location

507 Kimberton Rd
Phoenixville, PA 19460-4745

Call (610) 243-9117 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1740966829

Alexandra Baltazar Wallace, PA-C's National Provider Identifier is 1740966829, issued on Jun 23, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenixville, PA. The record was last updated on May 31, 2025.