Individual provider · Type 1 NPI

Eric L. Wallace, DO

Interventional Cardiology Physician · Coeur D Alene, ID

NPI number 1568658243 Active

Practice location

700 W Ironwood Dr, 320
Coeur D Alene, ID 83814-2656

Call (208) 625-5250 Map

Other practice locations

  • 415 6th St, Lewiston, ID 83501 · (208) 750-7507
  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 · (208) 625-5084

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X03263 (KY)
Internal Medicine Physician 207R00000X2007-014326 (NC)
Cardiovascular Disease Physician 207RC0000XO0839 (ID)
Interventional Cardiology Physician 207RI0011XOP60505950 (WA)
Interventional Cardiology Physician Primary 207RI0011XO-0839 (ID)

Interventional Cardiology Physician: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

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About NPI 1568658243

Eric L. Wallace, DO's National Provider Identifier is 1568658243, issued on Sep 17, 2007. The primary taxonomy on file is Interventional Cardiology Physician (207RI0011X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 25, 2025.