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Amanda Wallace, MD — NPI 1174750707, Golden, CO | NPI Central

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NPI 1174750707

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Amanda Wallace, MD

NPI 1174750707 · Pain Medicine (Anesthesiology) Physician · Golden, CO

Provider details

NPI number: 1174750707
Entity type: Individual
Primary specialty: Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: No
License: DR0052096 (CO)

Specialties & taxonomies

Pain Medicine (Anesthesiology) PhysicianPrimary207LP2900XLicense 0052096 (CO)
Allopathic & Osteopathic Physicians
Anesthesiology Physician207L00000XLicense DR0052096 (CO)
Allopathic & Osteopathic Physicians

Practice location

755 Heritage Rd

Golden, CO 80401-3600

Phone: (303) 277-0700

Approximate (ZIP-level) locationGet directions

More CO providers

Mailing address

1818 E 7th Ave

Denver, CO 80218-3645

Additional practice locations (1)

888 S Auto Mall Rd
Bloomington, IN 47401-5430
Phone: (812) 353-2700
Fax: (812) 353-2701

Registry dates

Enumerated: 2009-06-22
Last updated: 2019-01-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.