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Contact Information

GENEVIEVE R WALLACE, MD
1056 S 88TH ST
LOUISVILLE, CO80027-9460
 Phone: 303-442-6647
 Fax: 303-442-2696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ZD0900X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for GENEVIEVE R WALLACE · (Female)

NPI Number 1750560579
Status Active
Credentials MD
Entity Individual
Enumeration date 10/29/2007
Last updated 06/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 57122
  • CO License # DR.0057122
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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