Ian Wallace, MD

NPI #1063732758 in Longmont, Colorado

Provider Information

NPI Number: 1063732758
Entity Type: Individual
Name: Ian Wallace, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 4, 2010
Last Updated: Feb 27, 2023

Practice Location

Address: 220 E ROGERS RD
City: Longmont
State: Colorado
ZIP Code: 80501-6027
Phone: (303) 697-2583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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