Individual provider · Type 1 NPI

Brent E. Wallace, MD

Family Medicine Physician · Roy, UT

NPI number 1124136221 Active

Practice location

1915 W 5950 S
Roy, UT 84067-1454

Call (801) 387-8100 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X771610101205 (UT)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1124136221

Brent E. Wallace, MD's National Provider Identifier is 1124136221, issued on Aug 28, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Roy, UT. The record was last updated on Jul 10, 2008.