Stephen Blake Wallace
Foot and Ankle Orthopaedic Surgeon
3055 Roslyn St Unit 200
Denver
, Colorado 80238-3324
Stephen Blake Wallace
Foot and Ankle Orthopaedic Surgeon
3055 Roslyn St Unit 200
Denver
, Colorado 80238-3324
(225) 572-6083
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About
Features
Specialties
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Stephen Blake Wallace
- 10361 E 28th Pl
- Denver, CO
- Zip : 80238-3051
- Phone : (225) 572-6083
Second Address
- Stephen Blake Wallace
- 3055 Roslyn St Unit 200
- Denver, CO
- Zip : 80238-3324
- Phone : (303) 724-7378
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | DR.0063577 | CO |
National Provider Identifier
| NPI | 1205222502 |
|---|---|
| Provider Name | Stephen Blake Wallace |
| First Address | Denver, CO 80238-3051 |
| Second Address | Denver, CO 80238-3324 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2015 |
| Last Update Date | 29/07/2020 |
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.