Darcie L. Wallace, PA-C

Surgical Physician Assistant · Saint Louis, MO

Individual Active NPI

NPI number 1083648489

Practice location

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone
(314) 251-6000

Open in Google Maps

NPI record

NPI
1083648489
Entity type
Individual (Type 1)
Enumeration date
July 10, 2006
Last updated
October 22, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Physician Assistant Primary 363AS0400X 118539 MO

Mailing address

PO Box 180575
Saint Louis, MO 63150-3511
Phone
(314) 251-6000

About Darcie Wallace

Darcie L. Wallace, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 615 S New Ballas Rd, Saint Louis, MO 63141-8221. The NPI number 1083648489 was assigned on July 10, 2006 and the record was last updated on October 22, 2014.

Darcie Wallace lists a license in the registry: #118539 (MO) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Darcie L. Wallace, PA-C?

The NPI number is 1083648489.

What is the phone number of Darcie Wallace?

The phone number listed for the practice location is (314) 251-6000.

Where is Darcie Wallace located?

615 S New Ballas Rd, Saint Louis, MO 63141-8221.

What is the taxonomy code for Darcie Wallace?

The primary taxonomy code is 363AS0400X – Surgical Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Surgical Physician Assistant providers in Saint Louis

All Surgical Physician Assistant providers in Saint Louis, MO →