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WALLACE MEDICAL GROUP
NPI 1942623939
Specialist in Chandler, AZ

Active since January 27, 2014
1986 E GLACIER PL, CHANDLER, AZ 85249(520) 245-7379(888) 700-8257 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wallace Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE MEDICAL GROUP (NPI 1942623939) is a healthcare organization registered as a specialist in Chandler, Arizona and active in the NPI registry since January 2014. The organization lists Robert Wallace, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1942623939
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWALLACE MEDICAL GROUP
Location Address1986 E GLACIER PLChandler, AZ 85249-2886
Mailing Address1986 E Glacier PlChandler, AZ 85249-2886 · Fax (888) 700-8257
Phone(520) 245-7379
Fax(888) 700-8257
Organization SubpartNo
Authorized OfficialRobert WallaceChief Executive Officer · (520) 245-7379
Enumeration DateJanuary 27, 2014
✔ NPI 1942623939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1986 E GLACIER PL, Chandler, AZ 85249
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Medical Group's NPI number?

The NPI number for Wallace Medical Group is 1942623939. It was assigned to this organization in the NPPES registry on January 27, 2014.

Where is Wallace Medical Group located?

Wallace Medical Group is located at 1986 E Glacier Pl, Chandler, AZ 85249. The listed phone number is (520) 245-7379.

What is Wallace Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Wallace Medical Group was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.