Dr. Gary Deboer Wallace
Dr. Gary Deboer Wallace is a Student in an Organized Health Care Education/Training Program in Cheyenne, Wyoming. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
820 E 17th StCheyenne, WY 82001-4714
Phone: (307) 632-2434
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1366374126 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2026 |
| Last updated in NPPES | June 3, 2026 |
| Certification date | June 3, 2026 |
| Mailing address | 820 E 17th St, Cheyenne, WY 82001-4714 |
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