Wallace, William Dean

Wallace, William Dean is an sole proprietor health care provider with primary practice located at 747 W 4170 S , Murray UT 84123-1364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Immunopathology, which is considered as his primary health care specialty. Wallace, William Dean can be contacted via phone (801) 260-6015.

Contact Information

Primary practice address
747 W 4170 S Murray UT 84123-1364
Phone: (801) 260-6015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Immunopathology 207ZI0100X 168418-1205 Utah

Profile Details

NPI number 1093143745
LBN Legal business name Wallace, William Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2013
Last updated Oct 16th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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