MEGHAN WALLACE DO NPI 1477298776

NPI Information

  • NPI: 1477298776
  • Provider Name: MEGHAN WALLACE, DO
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12631 E 17TH AVE STE F496
    AURORA, CO
    ZIP 80045
  • Phone: (720) 553-2696

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NPI Details

Meghan Wallace, DO is a general practice in Aurora, CO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Meghan Wallace, DO NPI is 1477298776. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12631 E 17TH AVE STE F496
AURORA, CO
ZIP 80045-527
Phone: (720) 553-2696

The NPI 1477298776 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/2/2022 and was last updated on 11/7/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeDR.0075789COLORADOYes

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: 11/21/2025

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