Michael Wallis, M.D.

Individual Active
NPI 1558384388
Urology Physician Salt Lake City, UT

Michael Wallis, M.D. holds NPI 1558384388, with a primary taxonomy of urology physician and a practice location in Salt Lake City, UT. The number was issued on July 25, 2006 and the NPPES record was last updated on December 16, 2021. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X 6078212-1205 (UT)
Pediatric Urology Physician 2088P0231X M-13870 (ID)

Practice location

100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-5555

Local context

Active NPPES records list 85 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 67 of them within 10 miles.

The same primary taxonomy is listed by 140 in Utah and 19,306 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. Michael C. Wallis
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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