| Kevin L Wallace, MD | |
|
925 E Mcdowell Rd, Phoenix, AZ 85006-2502 | |
| (602) 239-2371 | |
| (602) 239-4138 |
| Full Name | Kevin L Wallace |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Medical Toxicology |
| Location | 925 E Mcdowell Rd, Phoenix, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730128372 | NPI | - | NPPES |
| 323923 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083T0002X | Preventive Medicine - Medical Toxicology | 23348 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin L Wallace, MD 72 Brentwood Rd, Cape Elizabeth, ME 04107-2227 Ph: (602) 769-1301 | Kevin L Wallace, MD 925 E Mcdowell Rd, Phoenix, AZ 85006-2502 Ph: (602) 239-2371 |
Dr. Ralph John Luciani I, D.O., M.D.(H) Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1530 W Glendale Ave, Suite 106, Phoenix, AZ 85021 Phone: 602-242-4024 Fax: 602-242-4913 | |
William C Knowler, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1550 E Indian School Rd, Phoenix, AZ 85014 Phone: 602-200-5206 | |
Michael A Keer, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 5340 W Buckeye Rd, Suite 3, Phoenix, AZ 85043 Phone: 615-778-4066 | |
Nicolau J Chamma, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2502 E Washington St, Phoenix, AZ 85034 Phone: 615-778-4066 | |
Dr. Rosalie E Banasiak, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 12808 North Black Canyon Highway, Phoenix, AZ 85029 Phone: 602-375-1155 Fax: 602-866-9169 | |
Gilbert T Webb Ii, THERAPY DIRECTOR Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 E Mcdowell Rd, Suite 105 & 325, Phoenix, AZ 85004 Phone: 615-778-4066 | |
Jacquelyn Island, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 12808 N Black Canyon Hwy, Phoenix, AZ 85029 Phone: 615-778-4066 |