Individual provider · Type 1 NPI

Marshall W. Wallace, MD

Surgery Physician · Salt Lake City, UT

NPI number 1154024974 Active

Practice location

30 N Mario Capecchi Dr Rm 4S100
Salt Lake City, UT 84112-0002

Call (801) 581-2121 Map

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X14168058-1205 (UT)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1154024974

Marshall W. Wallace, MD's National Provider Identifier is 1154024974, issued on Mar 22, 2023. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 1, 2024.