| Darryl Wallace, MD | |
|
4321 Washington St, Suite 4000, Kansas City, MO 64111-5961 | |
| (816) 932-4549 | |
| Not Available |
| Full Name | Darryl Wallace |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Gynecologic Oncology |
| Location | 4321 Washington St, Kansas City, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477592210 | NPI | - | NPPES |
| 201094802 | Medicaid | MO | |
| 33690 | Other | HEALTHCARE USA | |
| 09381035 | Other | BCBS OF KC | |
| 910000367 | Other | RAILROAD MEDICARE | |
| 4602518 | Other | AETNA | |
| 7400202 | Other | UHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 415529 (Kansas) | Secondary |
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | R5048 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Darryl Wallace, MD Po Box 504407, Saint Louis, MO 63150-4407 Ph: (816) 932-7947 | Darryl Wallace, MD 4321 Washington St, Suite 4000, Kansas City, MO 64111-5961 Ph: (816) 932-4549 |
Susan Marie Mou, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2101 Charlotte St, Kansas City, MO 64108 Phone: 816-404-7820 Fax: 816-404-8159 | |
Dr. Kristopher Shawn Lybarger, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2340 E Meyer Blvd Bldg 2, Ste 546, Kansas City, MO 64132 Phone: 816-926-0777 Fax: 816-926-0707 | |
Douglas R Perryman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4400 Broadway Ste 302, Kansas City, MO 64111 Phone: 816-931-9344 Fax: 816-931-4168 | |
Anupama Kotha, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-3584 Fax: 816-932-5873 | |
Zachary James Alholm, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-0880 | |
Gerald Lee Miller Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6400 Prospect, #598, Kansas City, MO 64132 Phone: 816-444-6888 Fax: 816-444-1375 | |
Dr. Karen K Driskell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8600 Ne 82nd St, Kansas City, MO 64158 Phone: 816-741-9122 Fax: 816-741-9665 |