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Individual

SETH BROWNING WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
550 E 1400 N STE S, LOGAN, UT 84341-2450
(435) 716-1860
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 716-1860

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6201987-1205
UT
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
6201987-1205
UT

Other

Enumeration date
05/24/2007
Last updated
02/25/2026
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