# WALLACE FOOT AND ANKLE CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336571785
- **Authorized official:** DR. TRENTON DALE WALLACE DPM (PODIATRIST)
- **Authorized official phone:** (405) 446-8290

## Contact information

- **Practice address:** 608 NW 9TH ST, SUITE 4210, OKLAHOMA CITY, OK 73102-1068
- **Practice address phone:** (405) 446-8290
- **Mailing address:** 608 NW 9TH ST, SUITE 4210, OKLAHOMA CITY, OK 73102-1068
- **Mailing address phone:** (405) 446-8290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 292 | OK | Yes |

## Other

- **Enumeration date:** 08/07/2013
- **Last updated:** 06/23/2016