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1215027990
JEFFREY WALLACE
AURORA, CO
NPI
1215027990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CO 27855)
Enumeration Date
2006-10-13
Last Update Date
2011-01-03
Business Address
JEFFREY WALLACE MD
12605 E 16TH AVE
AURORA, CO 80045-2545
Phone number: 720-848-0000
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Mailing Address
JEFFREY WALLACE MD
PO BOX 876
AURORA, CO 80040-0876
Phone number: 303-493-7000
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