GARY WAYNE WALLACE

IDAHO FALLS, ID
NPI1144335290
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: ID  M-6226)
Enumeration Date2006-08-20
Last Update Date2011-05-26
Business Address
Dr. GARY WAYNE WALLACE M.D.
2295 CORONADO STREET
IDAHO FALLS, ID 83404
Phone number: 208-524-8600
Mailing Address
Dr. GARY WAYNE WALLACE M.D.
2295 CORONADO STREET
IDAHO FALLS, ID 83404
Phone number: 208-524-8600
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