Genevieve R Wallace
Medical Specialty
Professional ID
- NPI: 1750560579
- PECOS ID: 7214069780
- Enrollment ID: I20160819000828
- Credential(MD, DO, DPM):
- Medical School: University Of Texas Medical School At Houston
- Medical School Graduation Year: 2008
Medical Practices
- Organization Name: Dermatology Specialists Of Boulder Pc
- Group Practice ID assigned by PECOS: 3678668761
- Number of Group Practice member: 8
Location
- Address1: 2880 Folsom St
- Address2: Suite 200
- City: Boulder
- State: Colorado
- Zip Code: 80304
- Phone Number: (303)524-9987
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes