Individual provider · Type 1 NPI

Graham Wilson Wallace, MD

Diagnostic Radiology Physician · Denver, CO

NPI number 1063499267 Active

Practice location

777 Bannock St
Denver, CO 80204-4597

Fax (303) 602-4168

Other practice locations

  • University Of California San Francisco, 505 Parnassus Ave., San Francisco, CA 94143 · (415) 885-7268
  • Kaiser Permanente, 4601 Dale Rd., Modesto, CA 95356 · (209) 735-3290
  • David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535-1809 · (707) 423-3040

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X01051128A (IN)
Diagnostic Radiology Physician 2085R0202X01051128A (IN)
Diagnostic Radiology Physician 2085R0202XC142217 (CA)
Diagnostic Radiology Physician Primary 2085R0202XDR.0068264 (CO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1,524 other providers at this address

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About NPI 1063499267

Graham Wilson Wallace, MD's National Provider Identifier is 1063499267, issued on Dec 29, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Denver, CO. The record was last updated on Sep 4, 2024.