Search › Idaho › Ophthalmology Physician
Gary Wallace, M.D
NPI 1144335290 · on the registry since 2006
Practice
- Address
- 2295 Coronado Street
Idaho Falls, ID 83404 - Phone
- (208) 524-8600
- Fax
- (208) 524-8394
- Organisation at this address
- Center For Sight Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Ophthalmology Physician
207W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-26
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 Idaho