IAN WALLACE

LONGMONT, CO
NPI1063732758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CO  DR.0052047)
Enumeration Date2010-06-04
Last Update Date2023-02-27
Business Address
IAN WALLACE MD
220 E ROGERS RD
LONGMONT, CO 80501-6027
Phone number: 303-697-2583
Mailing Address
IAN WALLACE MD
203 S ROLLIE AVE
FORT LUPTON, CO 80621-1508
Phone number: 303-892-6401
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