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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ERIC L WALLACE, D.O.

Active

DR. ERIC L WALLACE, D.O. is a Hospice and Palliative Medicine healthcare provider located in COEUR D ALENE, Idaho. NPI 1568658243 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · COEUR D ALENE, ID

Registration Details

NPI Number
1568658243
Provider Type
Individual
Gender
Male
NPI Issued
Sep 17, 2007 (18.893081916292 yrs)
Last Updated
Jul 25, 2025
Licenses
03263 (KY)
2007-014326 (NC)
O0839 (ID)
OP60505950 (WA)
O-0839 (ID)

Practice Information

Address
700 W IRONWOOD DR
320
COEUR D ALENE, ID, 838142656
Browse ID providers · Browse ZIP 83814
Phone
2086255250
Primary Specialty
Hospice and Palliative Medicine
207RI0011X
Additional Specialty
Internal Medicine
Additional Specialty
Cardiovascular Disease

Other Hospice and Palliative Medicine Providers in COEUR D ALENE, ID

Name Credential NPI
DR. STEPHEN T THEW MD 1588617591
DR. DENNIS B COOKE MD 1285680488
MARK ANTHONY TROIANO 1962636696
DONALD FRANKLIN ENGLES M.D. 1306163134
DR. ELIZABETH M RAU M.D. 1538455878
DR. CHARLES QIMING CUI M.D. 1356737670
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.