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

Dr. Genevieve Rebecca Wallace, MD

Individual provider Dermatopathology (Pathology) Physician · NPI 1750560579

Dr. Genevieve Rebecca Wallace, MD is a Dermatology in Louisville, Colorado. Graduated from University of Texas Medical School at Houston in 2008, 18 years ago. Practices with Dermatology Specialists of Boulder PC, a 13-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
18
Trained at
University of Texas Medical School at Houston
Licensed in
CO
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1056 S 88th St
Louisville, CO 80027-9460
Phone: (303) 442-6647
Fax: (303) 442-2696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence DR.0057122 (CO)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 57122 (CO)

Record details

NPI number1750560579
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 29, 2007
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 2008 (18 years in practice)
Group practice Dermatology Specialists Of Boulder Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount