# STEPHEN A. WALLACE, M.D., P.C.

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

## Provider details

- **NPI number:** 1952638660
- **Authorized official:** BECKY L WALLACE (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (928) 726-0985

## Contact information

- **Practice address:** 2741 S 8TH AVE, SUITE C, YUMA, AZ 85364-7154
- **Practice address phone:** (928) 726-0985
- **Practice address fax:** (928) 726-9395
- **Mailing address:** 2741 S 8TH AVE, SUITE C, YUMA, AZ 85364-7154
- **Mailing address phone:** (928) 726-0985
- **Mailing address fax:** (928) 726-9395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 13856 | AZ | Yes |

## Other

- **Enumeration date:** 11/17/2009
- **Last updated:** 11/17/2009