NPI 1093143745

William Dean Wallace, MD

Practitioner Immunopathology Physician Murray, UT

Practice location

Address: 747 W 4170 S, Murray, UT 84123-1364
Phone: (801) 260-6015

Registered specialties

Immunopathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZI0100X Licence 168418-1205 (UT)

Other Pathology providers in Utah →

Registry record

NPI: 1093143745
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2013
Record last updated: 16 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.