NPI 1023066354

Jamie Russelle Wallace, MD

Practitioner Pediatrics Physician Scottsdale, AZ

Practice location

Address: 10752 N 89th Pl #126, Scottsdale, AZ 85260
Phone: (480) 860-1161
Fax: (480) 860-6561

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 12810 (AZ)

Other Pediatrics providers in Arizona →

Registry record

NPI: 1023066354
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 May 2006
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.