Back to Search

BENJAMIN WALLACE, PA

PA

Surgical Physician Assistant

NPI: 1992936066IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

CMS Specialties

Education

OTHER

Class of 2009

Contact & Hours

Address
1160 E 3900 S STE 3500
SALT LAKE CITY, UT 84124

Quick Facts

NPI
1992936066
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
17

Are you this provider?

Claim Your Profile