David Wallace, DO

NPI #1932193604 in Draper, Utah

Provider Information

NPI Number: 1932193604
Entity Type: Individual
Name: David Wallace, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: DO
Enumeration Date: Sep 8, 2005
Last Updated: Oct 10, 2007

Practice Location

Address: 738 GOLDEN PHEASANT DR
City: Draper
State: Utah
ZIP Code: 84020-8454
Phone: (801) 403-7980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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