MAEGEN J WALLACE

PHOENIX, AZ
NPI1235393836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: AZ  69950)
Additional Taxonomies207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery
(Licence: NE  28403)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MO  2008018502)
Enumeration Date2008-07-12
Last Update Date2023-06-30
Business Address
Dr. MAEGEN J WALLACE M.D.
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-1000
Mailing Address
Dr. MAEGEN J WALLACE M.D.
2108 E THOMAS RD STE 130
PHOENIX, AZ 85016-0008
Phone number: 602-933-3124