NICHOLE G WALLACE

AURORA, CO
NPI1497729909
Former NameSUZANNE NICHOLE GREEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080C0008X Pediatrics, Child Abuse Pediatrics
(Licence: CO  DR0054149)
Enumeration Date2006-02-14
Last Update Date2014-12-09
Business Address
Dr. NICHOLE G WALLACE MD
13123 E 16TH AVE B390
AURORA, CO 80045-7106
Phone number: 303-864-5250
Mailing Address
Dr. NICHOLE G WALLACE MD
PO BOX 110429
AURORA, CO 80042-0429
Phone number: 303-493-7000
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