NPI 1770712309

Gregory L. Wallace, MD

Practitioner Anesthesiology Physician Laramie, WY

Practice location

Address: 204 McCollum Dr Suite 101, Laramie, WY 82070-5151
Phone: (307) 745-6065
Fax: (307) 745-4936

Registered specialties (2)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 9296A (WY)

Other Anesthesiology providers in Wyoming →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1770712309
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2009
Record last updated: 1 Jul 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.