Doctor Name: | DANIELLE WALLACH |
NPI Number: | 1891080222 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 55756 |
Business Practice Address: | 9397 Crown Crest Blvd Suite 320 Parker, CO - 801388575 |
Business Phone Number: | 3037660197 |
Business Fax Number: | 3037660187 |
Mailing Address: | 1900 Little Raven St, Apt #522 DENVER |
State: | CO |
Postal Code: | 802027163 |
Phone Number: | 9545791127 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2011 |
NPI Last Update Date: | 04/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 55756 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |