Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GRAHAM WILSON WALLACE, MD
ActiveDR. GRAHAM WILSON WALLACE, MD is a Diagnostic Radiology healthcare provider located in DENVER, Colorado. NPI 1063499267 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · DENVER, CO
Registration Details
- NPI Number
- 1063499267
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2005 (20.586426739654 yrs)
- Last Updated
- Sep 4, 2024
- Licenses
-
01051128A (IN)01051128A (IN)C142217 (CA)DR.0068264 (CO)
Practice Information
- Address
-
777 BANNOCK STDENVER, CO, 802044597Browse CO providers · Browse ZIP 80204
- Phone
- 3036436494
- Fax
- 3036024168
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in DENVER, CO
| Name | Credential | NPI |
|---|---|---|
| DR. TONY SANGCHOMPUPHEN | MD | 1104826916 |
| DR. PAUL A STANGL | MD | 1114916921 |
| LAWRENCE D BUB | MD | 1639152655 |
| MICHAEL ERNEST BENNETT | MD | 1083698385 |
| DR. KENNETH B REYNARD | M.D. | 1619946183 |
| DR. JEFFREY D WICKS | M.D. | 1043289556 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.