William Wallace, M.D.

Individual Active
NPI 1093143745
Immunopathology Physician Murray, UT

NPI 1093143745 belongs to William Wallace, M.D., an immunopathology physician with a practice location in Murray, UT. The NPI was issued on October 16, 2013, and the record was last updated in NPPES on October 16, 2013.

This record hasn't been updated in NPPES since 2013. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Immunopathology Physician Primary 207ZI0100X 168418-1205 (UT)

Practice location

747 W 4170 S
Murray, UT 84123-1364
Phone: (801) 260-6015

Local context

Active NPPES records list 1 provider with immunopathology physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 1 in Utah and 42 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. William Dean Wallace
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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