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

Stephanie Ellen Wallace, MD

Individual provider Pediatrics Physician · NPI 1295840676

Stephanie Ellen Wallace, MD is a Pediatrics Physician in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
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

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone: (253) 403-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD00044481 (WA)

Record details

NPI number1295840676
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 5299, Ms: 737-2-Phys, Tacoma, WA 98415-0299

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