Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID WALLACE, DO
ActiveDAVID WALLACE, DO is a Anesthesiology healthcare provider located in DRAPER, Utah. NPI 1932193604 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · DRAPER, UT
Registration Details
- NPI Number
- 1932193604
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2005 (20.974812922944 yrs)
- Last Updated
- Oct 10, 2007
- Licenses
-
272263-1205 (UT)5101010132 (MI)15448 (MS)O-168 (ID)
Practice Information
- Address
-
738 GOLDEN PHEASANT DRDRAPER, UT, 840208454Browse UT providers · Browse ZIP 84020
- Phone
- 8014037980
- Primary Specialty
-
Anesthesiology
207L00000X
- Additional Specialty
- Anesthesiology
- Additional Specialty
- Anesthesiology
- Additional Specialty
- Anesthesiology
Other Anesthesiology Providers in DRAPER, UT
| Name | Credential | NPI |
|---|---|---|
| TONY GIANOULIS | MD, MHA | 1720183221 |
| DR. BENJAMIN A RIDEOUT | DO | 1942402870 |
| CRAIG JOHNSON | D.O. | 1669850665 |
| JUSTIN CURTIS | APRN-CRNA | 1326621343 |
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.