IndividualActive
Darcie Wallace, PA-C
NPI 1083648489 · Surgical Physician Assistant · Saint Louis, MO
Provider details
- NPI number
- 1083648489
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 118539 (MO)
Practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-6000
Mailing address
Po Box 180575
Saint Louis, MO 63150-3511
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2014-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.