Stephanie E Wallace, CRNA | |
Psc 836, Box 122, Fpo, AE 09636 | |
(570) 573-4343 | |
Not Available |
Full Name | Stephanie E Wallace |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | Psc 836, Fpo, Armed Forces Europe |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427534718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 95001092 (California) | Primary |
Entity Name | United Medical Doctors |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770559981 PECOS PAC ID: 2961305651 Enrollment ID: O20040129001069 |
Entity Name | Temecula Ca Endoscopy Asc Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285863696 PECOS PAC ID: 4981645678 Enrollment ID: O20090730000041 |
Entity Name | Temecula Ca United Surgery Center Lp |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1275951196 PECOS PAC ID: 9436465853 Enrollment ID: O20150831003140 |
Mailing Address | Practice Location Address |
---|---|
Stephanie E Wallace, CRNA Psc 836, Box 122, Fpo, AE 09636 Ph: (570) 573-4343 | Stephanie E Wallace, CRNA Psc 836, Box 122, Fpo, AE 09636 Ph: (570) 573-4343 |
Dr. John Brien Shapira, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: Psc 819 Box 18, Fpo, AE 09645 Phone: 011-349-56823439 | |
Dr. Michael R Ancona Jr., DO Anesthesiology Medicare: Medicare Enrolled Practice Location: Naval Hospital Guantanamo Bay Cuba, Fpo, AE 09589 Phone: 011-539-972160 | |
Dr. Michel John Kearns, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Psc 819 Box 4503, Fpo, AE 09645 Phone: 619-723-8017 |