Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN PANTONE WALLACE, PA
ActiveBENJAMIN PANTONE WALLACE, PA is a Surgical Physician Assistant healthcare provider located in SALT LAKE CITY, Utah. NPI 1992936066 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1992936066
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2009 (17.00307017039 yrs)
- Last Updated
- Jan 2, 2026
Practice Information
- Address
-
1160 E 3900 S STE 3500SALT LAKE CITY, UT, 841241264Browse UT providers · Browse ZIP 84124
- Phone
- 8014766900
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| THOMAS L CURETON | PA-C | 1578566154 |
| SCOTT C FRISCHKNECHT | PA-C | 1013901792 |
| SCOTT A TATUM | — | 1205877842 |
| MRS. JENNIFER A. REYNOLDS | P.A. | 1326118274 |
| CHARITY OAKS COE | PA-C | 1184824005 |
| THOMAS G ASTURIAS | PA-C | 1336334135 |
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.