BENJAMIN WALLACE, PA
Physician Assistant - Surgical
Active
Individual
NPI: 1992936066
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | - |
Frequently Asked Questions
NPI 1992936066 is the National Provider Identifier for BENJAMIN WALLACE, PA, a Physician Assistant - Surgical provider located in Salt Lake City, UT. This NPI was enumerated on August 6, 2009.
BENJAMIN WALLACE, PA practices at 1160 E 3900 S STE 3500, Salt Lake City, UT 84124.
Quick Facts
- NPI
- 1992936066
- Type
- Individual
- Enumerated
- Aug 6, 2009
- Last Updated
- Jan 2, 2026
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