Individual
DR. BILLI S WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201
(573) 814-6000
Mailing address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0431738
KS
207W00000X
Ophthalmology Physician
Primary
2006009608
MO
207W00000X
Ophthalmology Physician
22899
OK
Other
Enumeration date
04/26/2006
Last updated
07/24/2018
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