BENJAMIN PANTONE WALLACE

SALT LAKE CITY, UT
NPI1992936066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2009-08-06
Last Update Date2026-01-02
Business Address
BENJAMIN PANTONE WALLACE PA
1160 E 3900 S STE 3500
SALT LAKE CITY, UT 84124-1264
Phone number: 801-476-6900
Mailing Address
BENJAMIN PANTONE WALLACE PA
PO BOX 281490
ATLANTA, GA 30384-1490
Phone number:
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