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Search › Utah › 208800000X

Michael Wallis, M.D

NPI 1558384388 · on the registry since 2006

Practice

Address
100 Mario Capecchi Dr
Salt Lake City, UT 84113
Phone
(801) 662-5555
Organisation at this address
Pediatric Allergy
Pediatric Pm And R
Ihc Health Services Inc
Ihc Health Services Inc
Intermountain Healthcare
Inferred from a shared address, not stated in the registry.
Clinicians at this address
185

Registry record

Primary taxonomy
208800000X
208800000X
Also registered as
2088P0231X
Licence states on file
ID, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-16

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