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1154024974
MARSHALL W. WALLACE
SALT LAKE CITY, UT
NPI
1154024974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: UT 14168058-1205)
Enumeration Date
2023-03-22
Last Update Date
2024-10-01
Business Address
MARSHALL W. WALLACE MD
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112-0002
Phone number: 801-581-2121
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Mailing Address
MARSHALL W. WALLACE MD
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112-0002
Phone number: 801-581-2121
Copy
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