Roxanne Elizabeth Wallace, M.D. Valid NPI

Individual provider · Orthopaedic Surgery Physician · Fort Campbell, KY

NPI

1609959451

Type

Individual (Type 1)

Primary specialty

Orthopaedic Surgery Physician (Orthopaedic Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207X00000X

License number

61606-20 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2006-10-23

Last updated

2025-04-29