Maxwell Wallace, M.D.

Individual Active
NPI 1588195267
Neurology with Special Qualifications in Child Neurology Physician Saint Louis, MO

Maxwell Wallace, M.D. holds NPI 1588195267, with a primary taxonomy of neurology with special qualifications in child neurology physician and a practice location in Saint Louis, MO. The number was issued on March 23, 2017 and the NPPES record was last updated on August 22, 2022.

Taxonomies and licenses

TaxonomyCodeLicense
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402X 2022027207 (MO)

Practice location

1465 S Grand Blvd
Rm 2717
Saint Louis, MO 63104-1003
Phone: (314) 577-5634

Local context

Active NPPES records list 50 providers with neurology with special qualifications in child neurology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 46 of them within 10 miles.

The same primary taxonomy is listed by 89 in Missouri and 3,018 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Maxwell Wallace
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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