STEPHEN BLAKE WALLACE

DENVER, CO
NPI1205222502
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery
(Licence: CO  DR.0063577)
Enumeration Date2015-04-13
Last Update Date2020-07-29
Business Address
STEPHEN BLAKE WALLACE MD
3055 ROSLYN ST UNIT 200
DENVER, CO 80238-3324
Phone number: 303-724-7378
Mailing Address
STEPHEN BLAKE WALLACE MD
10361 E 28TH PL
DENVER, CO 80238-3051
Phone number: 225-572-6083
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