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Provider Profile

Blake T. Wallace, DPM

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Where to find Blake T. Wallace, DPM

About Dr. Wallace

Blake T. Wallace, DPM practices podiatry in Phoenix, AZ. Blake is a 2021 graduate of California School of Podiatric Medicine. Blake is also listed as specializing in podiatry — foot & ankle surgery. The provider's National Provider Identifier (NPI) is 1083216949.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Medical School California School of Podiatric Medicine Class of 2021

Specialty

Podiatry (Primary)

Credentials & Licensing

AZ licenceAs reported to the NPI registry
No. POD-001117As reported
NPINational Provider Identifier
1083216949Issued 2020

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Wallace specialize in?

Dr. Wallace is a podiatry in Phoenix, AZ. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Dr. Wallace located?

Dr. Wallace is listed at 15601 N 28Th Ave Ste 102, Phoenix, AZ 85053. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Wallace's phone number?

The number on file is (480) 844-8218. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Dr. Wallace?

Dr. Wallace's National Provider Identifier is 1083216949. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Dr. Wallace go to medical school?

Dr. Wallace attended California School of Podiatric Medicine, graduating in 2021. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Dr. Wallace have?

Dr. Wallace has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.

CMS public data

Is Dr. Wallace's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Wallace. If this is you, claiming it is free.

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