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

Individual provider Emergency Medicine Physician · NPI 1972123768

Neil Wallace, MD is an Emergency Medicine in Tucson, Arizona. Graduated from University of New Mexico School of Medicine in 2020, 6 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Trained at
University of New Mexico School of Medicine
Licensed in
AZ
In the registry since
2020
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

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone: (520) 626-7233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 67949 (AZ)

Record details

NPI number1972123768
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2020
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing address5489 N Quiet Dream Ave, Tucson, AZ 85741-3831

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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