Individual provider · Type 1 NPI

Samantha Wallace, DO

Family Medicine Physician · Springfield, MO

NPI number 1821403593 Active

Practice location

3801 S National Ave
Springfield, MO 65807-5210

Call (417) 269-7728 Map

Fax (417) 269-7729

Mailing address

PO Box 802843
Kansas City, MO 64180-2843

Other practice locations

  • 1423 N Jefferson Ave, Springfield, MO 65802-1917 · (417) 269-8817
  • 525 Branson Landing Blvd Ste 201A, Branson, MO 65616-2052 · (417) 335-7000

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X2015026152 (MO)
Family Medicine Physician 207Q00000X2014019168 (MO)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1821403593

Samantha Wallace, DO's National Provider Identifier is 1821403593, issued on Jun 21, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Springfield, MO. The record was last updated on Jun 17, 2026.