Darryl Wallace
Gynecologic Oncologist
4321 Washington St Suite 4000
Kansas City
, Missouri 64111-5961
Darryl Wallace
Gynecologic Oncologist
4321 Washington St Suite 4000
Kansas City
, Missouri 64111-5961
(816) 932-7957
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Darryl Wallace
- Po Box 504407
- Saint Louis, MO
- Zip : 63150-4407
- Fax : (816) 932-7957
- Phone : (816) 932-7947
Second Address
- Darryl Wallace
- 4321 Washington St Suite 4000
- Kansas City, MO
- Zip : 64111-5961
- Phone : (816) 932-4549
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207VX0201X | Gynecologic Oncologist | 415529 | KS |
| Y | 207VX0201X | Gynecologic Oncologist | R5048 | MO |
National Provider Identifier
| NPI | 1477592210 |
|---|---|
| Provider Name | Darryl Wallace |
| First Address | Saint Louis, MO 63150-4407 |
| Second Address | Kansas City, MO 64111-5961 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2006 |
| Last Update Date | 11/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 09381035 | BCBS OF KC (01) | |
| 201094802 | (05) | MO |
| 33690 | HEALTHCARE USA (01) | |
| 4602518 | AETNA (01) | |
| 7400202 | UHC (01) | |
| 910000367 | RAILROAD MEDICARE (01) | |
| C50226 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.