Search › Indiana › 104100000X
Bailey Wallace
NPI 1770276552 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1040 Wishard Blvd
Indianapolis, IN 46202 - Phone
- (317) 962-8893
- Clinicians at this address
- 65
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 104100000X
- Licence states on file
- OH, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana