# WASATCH ANESTHESIA INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982616843
- **Authorized official:** DAVID WALLACE MD (PRESIDENT)
- **Authorized official phone:** (801) 993-9526

## Contact information

- **Practice address:** 3460 PIONEER PKWY, WEST VALLEY CITY, UT 84120-2049
- **Practice address phone:** (801) 993-9526
- **Practice address fax:** (801) 733-5872
- **Mailing address:** 1954 FORT UNION BLVD, 115, SALT LAKE CITY, UT 84121-6800
- **Mailing address phone:** (801) 993-9526
- **Mailing address fax:** (801) 733-5872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 08/22/2020