MADELINE WALLACE

EVANS, CO
NPI1649854456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  6761)
Enumeration Date2021-05-07
Last Update Date2021-06-29
Business Address
MADELINE WALLACE PA-C
2930 11TH AVE
EVANS, CO 80620-1011
Phone number: 970-353-9403
Mailing Address
MADELINE WALLACE PA-C
2930 11TH AVE
EVANS, CO 80620-1011
Phone number: 970-353-9403
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