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Stephen Blake Wallace

Foot and Ankle Orthopaedic Surgeon

3055 Roslyn St Unit 200
Denver , Colorado 80238-3324

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Stephen Blake Wallace

Foot and Ankle Orthopaedic Surgeon

3055 Roslyn St Unit 200
Denver , Colorado 80238-3324

(225) 572-6083

Write a Review Save Call

Stephen Blake Wallace

Foot and Ankle Orthopaedic Surgeon

3055 Roslyn St Unit 200
Denver , Colorado 80238-3324

(225) 572-6083 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Foot and Ankle Orthopaedic Surgeon

Languages spoken

  • English

Location

3055 Roslyn St Unit 200 Denver , Colorado 80238-3324

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

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FAQs


Where did Stephen Blake Wallace attend graduate school?

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Where did Stephen Blake Wallace do his residency?

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Where did Stephen Blake Wallace do his fellowship?

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Is Stephen Blake Wallace board certified?

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What type of doctor is Stephen Blake Wallace

Foot and Ankle Orthopaedic Surgeon

In what state does Stephen Blake Wallace practice in?

Colorado

Where is Stephen Blake Wallace ’s practice located?

3055 Roslyn St Unit 200 , Denver, Colorado, 80238-3324

What is Stephen Blake Wallace ’s gender?

Male

Is Stephen Blake Wallace a sole practitioner?

No

Is Stephen Blake Wallace accepting new patients?

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What languages does Stephen Blake Wallace speak?

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Does Stephen Blake Wallace accept insurance?

Yes, Stephen Blake Wallace accepts insurance

Does Stephen Blake Wallace offers telemedicine?

Stephen Blake Wallace has not indicated if he offers telemedicine

What is Stephen Blake Wallace ’s professional license number?

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What is Stephen Blake Wallace ’s NPI number?

1205222502

Does Stephen Blake Wallace have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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