BETHANY ANN WALLACE

COLORADO SPRINGS, CO
NPI1740371699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CO  27638)
Enumeration Date2006-09-27
Last Update Date2023-05-14
Business Address
-- BETHANY ANN WALLACE do
8890 N UNION BLVD STE 170
COLORADO SPRINGS, CO 80920-2701
Phone number: 719-365-6421
Mailing Address
-- BETHANY ANN WALLACE do
558 E CASTLE PINES PKWY PMB 151
CASTLE ROCK, CO 80108-4608
Phone number: 719-365-6421
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