Search › Utah › 207ZI0100X
William Wallace, M.D
NPI 1093143745 · on the registry since 2013 · sole proprietor
Practice
- Address
- 747 W 4170 S
Murray, UT 84123 - Phone
- (801) 260-6015
Registry record
- Primary taxonomy
- 207ZI0100X
207ZI0100X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah