DR. Austin Fisher Wallace, M.D.

NPI #1437356193 in Durango, Colorado

Provider Information

NPI Number: 1437356193
Entity Type: Individual
Name: DR. Austin Fisher Wallace, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: Jun 27, 2007
Last Updated: Oct 8, 2024

Practice Location

Address: 1010 THREE SPRINGS BLVD
Address 2: SUITE 294
City: Durango
State: Colorado
ZIP Code: 81301-8296
Phone: (970) 247-4311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary
Internal Medicine	207R00000X

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