ALLEN WALLACE, CRNA
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1295798163
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | 192839-4406 (UT) |
Frequently Asked Questions
NPI 1295798163 is the National Provider Identifier for ALLEN WALLACE, CRNA, a Nurse Anesthetist, Certified Registered provider located in Roosevelt, UT. This NPI was enumerated on April 10, 2006.
ALLEN WALLACE, CRNA practices at 250 W 300 N, Roosevelt, UT 84066.
Quick Facts
- NPI
- 1295798163
- Type
- Individual
- Enumerated
- Apr 10, 2006
- Last Updated
- Nov 30, 2007
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