Individual
DR. ROXANNE ELIZABETH WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223
(270) 798-7694
(270) 798-8630
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-7694
(270) 798-8630
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
61606-20
WI
Other
Enumeration date
10/23/2006
Last updated
04/29/2025
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