Colleen Wallace is an adult medicine family medicine in Umatilla, FL with 4 years of experience. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Colleen Wallace NPI is 1992394423. 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:
287 S CENTRAL AVE
UMATILLA, FL
ZIP 32784-411
Phone: (352) 747-0747
The NPI 1992394423 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/11/2021 and was last updated on 1/21/2021.