| Mark E Wallace, MD | |
|
1600 23rd Ave, Greeley, CO 80634-6070 | |
| (970) 356-2424 | |
| (970) 346-2774 |
| Full Name | Mark E Wallace |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1600 23rd Ave, Greeley, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083603088 | NPI | - | NPPES |
| 01320100 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR32010 (Colorado) | Primary |
| 207Q00000X | Family Medicine | G056273 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E Wallace, MD 1600 23rd Ave, Greeley, CO 80634-6070 Ph: (970) 356-2424 | Mark E Wallace, MD 1600 23rd Ave, Greeley, CO 80634-6070 Ph: (970) 356-2424 |
Jacqueline S Bearden, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5623 W 19th St, Greeley, CO 80634 Phone: 970-353-9011 Fax: 970-353-9135 | |
Joanna Humprey Branum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6801 W 20th St Unit 101, Greeley, CO 80634 Phone: 970-378-8000 Fax: 970-378-8088 | |
Chelsea Weiland, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6767 29th St, Greeley, CO 80634 Phone: 970-652-2801 Fax: 970-652-2827 | |
Jenna Marie Starke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 23rd Ave, Greeley, CO 80634 Phone: 406-437-3002 | |
Linda E Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2454 Fax: 970-350-2447 | |
Stephen Zerlang, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 23rd Ave, Greeley, CO 80634 Phone: 970-346-2800 Fax: 970-346-2774 |