Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Warner Wallace, MD

Individual provider Anesthesiology Physician · NPI 1700327061

David Warner Wallace, MD is an Anesthesiology in Phoenix, Arizona. Qualified in 2017, 9 years ago. Practices with Phoenix Children's Hospital, a 430-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
9
Licensed in
AZ, CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24606 Mosquero Ln, Mission Viejo, CA 92691-4913 — (949) 322-1937

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X · Licence 67086 (AZ)
Anesthesiology Physician Taxonomy 207L00000X · Licence A158148 (CA)

Record details

NPI number1700327061
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 19, 2017
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address2108 E Thomas Rd, Ste 130, Phoenix, AZ 85016-7761

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Phoenix Children'S Hospital — 430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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