| Emmett Lee Wallace, DO | |
|
1019 Broadlawn Avenue, Bettendorf, IA 52722 | |
| (563) 359-1181 | |
| (563) 386-3177 |
| Full Name | Emmett Lee Wallace |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1019 Broadlawn Avenue, Bettendorf, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215992334 | NPI | - | NPPES |
| 0047902 | Medicaid | IA | |
| 0158642 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01133 (Iowa) | Primary |
| 207Q00000X | Family Medicine | 27754 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 03652892 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Emmett Lee Wallace, DO 1019 Broadlawn Avenue, Bettendorf, IA 52722 Ph: (563) 359-1181 | Emmett Lee Wallace, DO 1019 Broadlawn Avenue, Bettendorf, IA 52722 Ph: (563) 359-1181 |
Dr. Jasmin R Cabrera, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3740 Utica Ridge Rd, Suite B, Bettendorf, IA 52722 Phone: 563-344-7400 Fax: 563-359-9395 | |
Dr. Daniel J Arnold, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4480 Utica Ridge Rd Ste 160, Bettendorf, IA 52722 Phone: 563-742-4850 Fax: 563-742-4855 | |
Dr. Michael J Gimbel Ii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4017 Devils Glen Rd, Ste 100, Bettendorf, IA 52722 Phone: 563-332-6387 Fax: 563-332-9197 | |
Dr. Mary Ann Defrance, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2140 53rd Ave, Bettendorf, IA 52722 Phone: 563-421-5700 | |
Christopher M Crome, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2140 53rd Ave, Bettendorf, IA 52722 Phone: 563-421-5700 Fax: 563-421-5839 | |
Sara Glassgow, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2730 Crow Creek Rd, Bettendorf, IA 52722 Phone: 954-399-4673 Fax: 815-454-2832 |