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WALLACE UROLOGY INC NPI 1316496664


NPI Information

NPI: 1316496664
Provider Name: WALLACE UROLOGY INC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
1325 EASTMORELAND AVE STE 425
MEMPHIS, TN
ZIP 38104
Phone: (901) 272-3200
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WALLACE UROLOGY INC is an urology in Memphis, TN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. WALLACE UROLOGY INC NPI is 1316496664. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1325 EASTMORELAND AVE STE 425
MEMPHIS, TN
ZIP 38104-541
Phone: (901) 272-3200
Fax: (901) 278-3441

The provider's authorized official is Charles Russell Wallace .
The authorized official title is Medical Doctor and has the following contact phone number (901) 272-3200.

The enumeration date for this NPI number is 9/28/2016 and was last updated on 9/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology015359TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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