JERALD PAYDEN WALLACE

LEXINGTON, KY
NPI1730591017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: KY  49437)
Enumeration Date2014-05-21
Last Update Date2016-07-07
Business Address
-- JERALD PAYDEN WALLACE M.D.
800 ROSE ST C246
LEXINGTON, KY 40536-0293
Phone number: 859-323-6162
Mailing Address
-- JERALD PAYDEN WALLACE M.D.
800 ROSE ST C246
LEXINGTON, KY 40536-0293
Phone number: 859-323-6162
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