Individual
DAVID WALLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11700 W 2ND PL, #4-450, LAKEWOOD, CO 80228-1704
(303) 825-1234
(720) 321-8121
Mailing address
11700 W 2ND PL, #4-450, LAKEWOOD, CO 80228-1704
(303) 825-1234
(720) 321-8121
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
17055
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01170554
—
CO
Enumeration date
05/08/2006
Last updated
03/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us