Robert D Wallace


Address: 3802 S 700, Salt Lake City, UT 84106-1182

Robert D Wallace (NPI# 1134133200, PAC ID# 3870516107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1134133200
PAC ID by PECOS 3870516107
Professional Enrollment ID I20060112000312
Full Name Robert D Wallace
Address 3802 S 700
Salt Lake City
UT 84106-1182
Gender M
Credential MD
Medical School UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year 1963
Primary Specialty PSYCHIATRY
Secondary Specialties GERIATRIC PSYCHIATRY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3802 S 700, Salt Lake City, UT 84106-1182

Organization Information

Office Location

Street Address 3802 S 700
City SALT LAKE CITY
State UT
Zip 84106-1182

Physicians in the same location

Name Specialty Organization Address
Ligia J Taylor Nurse Practitioner Salt Lake Behavioral Health LLC 3802 S 700, Salt Lake City, UT 84106-1182
James M Marcum Psychiatry Salt Lake Behavioral Health LLC 3802 S 700, Salt Lake City, UT 84106-1182
Amie J Aslami Psychiatry Salt Lake Behavioral Health LLC 3802 S 700, Salt Lake City, UT 84106-1182
Jessalyn Frost Nurse Practitioner Salt Lake Behavioral Health LLC 3802 S 700, Salt Lake City, UT 84106-1182
Eric D Benson Psychiatry Salt Lake Behavioral Health LLC 3802 S 700, Salt Lake City, UT 84106-1182
Clarence Leroy Anderson Psychiatry Salt Lake Behavioral Health LLC 3802 S 700, Salt Lake City, UT 84106-1182
Joseph A Reistetter Psychiatry Salt Lake Behavioral Health LLC 3802 S 700, Salt Lake City, UT 84106-1182
Thomas A Cooper Nurse Practitioner Salt Lake Behavioral Health LLC 3802 S 700, Salt Lake City, UT 84106-1182
Lynn D Dobias Psychiatry Salt Lake Behavioral Health LLC 3802 S 700, Salt Lake City, UT 84106-1182
Gerald M Lazar Psychiatry Salt Lake Behavioral Health LLC 3802 S 700, Salt Lake City, UT 84106-1182
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Cheryl Ann Salmon Nurse Practitioner 3855 S 700, Salt Lake City, UT 84106-1157
Vilija Neris Avizonis Radiation Oncology Utah Cancer Specialists PC 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1182
Stephan Disean Kendall Medical Oncology Utah Cancer Specialists PC 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1182
Justin Anthony Call Medical Oncology Utah Cancer Specialists PC 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1182
Robert Allan Havard Iii Medical Oncology Utah Cancer Specialists PC 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1182
James Riley Shortridge Hematology/oncology Utah Cancer Specialists PC 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1182
William E Nibley Medical Oncology Utah Cancer Specialists PC 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1182
Ada Jennifer Fischbach Radiation Oncology Utah Cancer Specialists PC 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1182
Robert Jeffrey Lee Radiation Oncology Utah Cancer Specialists PC 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1182
David Edmand Rodeback Clinical Social Worker Utah Cancer Specialists PC 3838 S 700 E, Suite 100, Salt Lake City, UT 84106-1182
Find all physicians in zip 84106

Competitor

Search similar physicians

City SALT LAKE CITY
Zip Code 84106
Specialty PSYCHIATRY
City + Specialty SALT LAKE CITY + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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