| Wayne Wallender, DO | |
|
1001 E Primrose St, Springfield, MO 65807-5155 | |
| (417) 875-3095 | |
| (417) 875-3570 |
| Full Name | Wayne Wallender |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 1001 E Primrose St, Springfield, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710927132 | NPI | - | NPPES |
| P01382375 | Other | MO | RR PTAN |
| 243003100 | Medicaid | MO | |
| 1710927132 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | R1P10 (Missouri) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | R1P10 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Wallender, DO Po Box 9007, Springfield, MO 65808-9007 Ph: (417) 875-3462 | Wayne Wallender, DO 1001 E Primrose St, Springfield, MO 65807-5155 Ph: (417) 875-3095 |
Sadie Ochs Giedd, DO Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1229 E Seminole St, Suite 320, Springfield, MO 65804 Phone: 417-820-2064 Fax: 417-820-8716 |