Organization
WASATCH ANESTHESIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WALLACE MD (PRESIDENT)
(801) 993-9526
Entity
Organization
Contact information
Practice address
3460 PIONEER PKWY, WEST VALLEY CITY, UT 84120-2049
(801) 993-9526
(801) 733-5872
Mailing address
1954 FORT UNION BLVD, 115, SALT LAKE CITY, UT 84121-6800
(801) 993-9526
(801) 733-5872
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/12/2006
Last updated
08/22/2020
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