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David Wallace, DO
NPI 1932193604 · on the registry since 2005
Practice
- Address
- 738 Golden Pheasant Dr
Draper, UT 84020 - Phone
- (801) 403-7980
Registry record
- Primary taxonomy
- Anesthesiology Physician
207L00000X
- Also registered as
- Anesthesiology Physician
Anesthesiology Physician
Anesthesiology Physician - Licence states on file
- UT, MI, MS, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-10
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