DR. GARY WALLACE, M.D.

Ophthalmology

Active Individual
NPI: 1144335290

Practice Address

2295 CORONADO STREET
Idaho Falls, ID 83404

Phone: (208) 524-8600

Specialties

Specialty Code Primary License
Ophthalmology 207W00000X Yes M-6226 (ID)

Frequently Asked Questions

NPI 1144335290 is the National Provider Identifier for DR. GARY WALLACE, M.D., a Ophthalmology provider located in Idaho Falls, ID. This NPI was enumerated on August 20, 2006.
DR. GARY WALLACE, M.D. practices at 2295 CORONADO STREET, Idaho Falls, ID 83404.

Quick Facts

NPI
1144335290
Type
Individual
Enumerated
Aug 20, 2006
Last Updated
May 26, 2011

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