Bradley Wallace, M.D.
General Surgery · Colorado Springs, CO
UnclaimedM.D.NPI 1881038115
- Primary taxonomy
- 208600000X
- Enumerated
- 2013-04-17
- Practice location
- Colorado Springs, CO
- Last NPPES update
- 2022-06-23
State licenses
- CO · Physician · NPPES self-reportedListed on NPI record
- CO · Physician · DRActivethrough 2027verify
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.