Dr. Suemoy S Wallace
Surgeon Trauma Surgeon Surgical Critical Care
16601 N 40th St Ste 227
Phoenix
, Arizona 85032-3354
Dr. Suemoy S Wallace
Surgeon Trauma Surgeon Surgical Critical Care
16601 N 40th St Ste 227
Phoenix
, Arizona 85032-3354
(602) 595-1127
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Suemoy S Wallace
- 16601 N 40th St Ste 227
- Phoenix, AZ
- Zip : 85032-3354
- Fax : (602) 595-1127
- Phone : (602) 633-3721
Second Address
- Dr. Suemoy S Wallace
- 16601 N 40th St Ste 227
- Phoenix, AZ
- Zip : 85032-3354
- Fax : (602) 595-1127
- Phone : (602) 633-3721
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FAQs
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Where is Dr. Suemoy S Wallace ’s practice located?
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Is Dr. Suemoy S Wallace accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 49311 | AZ |
| N | 208600000X | Surgeon | 49311 | AZ |
| N | 2086S0102X | Surgical Critical Care | 49311 | AZ |
| N | 2086S0127X | Trauma Surgeon | 49311 | AZ |
National Provider Identifier
| NPI | 1184850885 |
|---|---|
| Provider Name | Dr. Suemoy S Wallace |
| First Address | Phoenix, AZ 85032-3354 |
| Second Address | Phoenix, AZ 85032-3354 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2009 |
| Last Update Date | 13/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 948235 | (05) | AZ |
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.