B J Wallace
B J Wallace is a General Practice Physician in Englewood, Colorado. Licensed in Colorado. Registered with an NPI since 2007.
- Licensed in
- CO
- In the registry since
- 2007
Practice location Address checks out
2955 S BroadwayEnglewood, CO 80113-1526
Phone: (303) 788-1124
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Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 11470 (CO) |
|---|
Record details
| NPI number | 1518001312 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 16, 2007 |
| Last updated in NPPES | October 5, 2007 |
| Mailing address | 2955 S Broadway, Englewood, CO 80113-1526 |
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Jane A Kerzee
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-
Dr. Michael L Pearlman, MD
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Physiomed LLC
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Melissa Trapp
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