David Wallace, DO
David Wallace, DO is an Anesthesiology in Draper, Utah. Graduated from Michigan State University College of Osteopathic Medicine in 1986, 40 years ago. Practices with Associated Anesthesiologists of Fort Wayne PC, a 102-clinician group and accepts Medicare assignment. Licensed in Idaho, Michigan, Mississippi and Utah.
- Years since qualifying
- 40
- Trained at
- Michigan State University College of Osteopathic Medicine
- Licensed in
- ID, MI, MS, UT
- In the registry since
- 2005
- Specialties on file
- 4
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
738 Golden Pheasant DrDraper, UT 84020-8454
Phone: (801) 403-7980
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence 272263-1205 (UT) |
|---|---|
| Anesthesiology Physician | Taxonomy 207L00000X · Licence 5101010132 (MI) |
| Anesthesiology Physician | Taxonomy 207L00000X · Licence 15448 (MS) |
| Anesthesiology Physician | Taxonomy 207L00000X · Licence O-168 (ID) |
Record details
| NPI number | 1932193604 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | September 8, 2005 |
| Last updated in NPPES | October 10, 2007 |
| Mailing address | 738 Golden Pheasant Dr, Draper, UT 84020-8454 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduated | 1986 (40 years in practice) |
| Group practice | Associated Anesthesiologists Of Fort Wayne Pc — 102 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Draper
-
Dr. Benjamin Metcalfe, DO
11925 S State St, Draper, UT 84020 · (801) 545-8000
-
Dr. Benjamin A Rideout, DO
1733 Kudu Ct, Draper, UT 84020-9375 · (801) 572-8215
-
Sevocation Anesthesia, PLLC
11925 S State St, Draper, UT 84020-7735 · (801) 545-8000
-
South Towne Anesthesia LLC
96 E Kimballs Ln, Draper, UT 84020-5020 · (801) 233-9300
-
Wasatch Peaks Anesthesia, LLC
11762 S State St Ste 240, Draper, UT 84020-7156 · (801) 380-8886