Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gregory L. Wallace, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770712309

Dr. Gregory L. Wallace, MD is an Anesthesiology in Laramie, Wyoming. Graduated from University of Washington School of Medicine in 2009, 17 years ago. Practices with Anesthesia Associates of Laramie LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
17
Trained at
University of Washington School of Medicine
Licensed in
WY
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

204 McCollum Dr Ste 101
Laramie, WY 82070-5151
Phone: (307) 745-6065
Fax: (307) 745-4936
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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 9296A (WY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770712309
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2009
Last updated in NPPESJuly 1, 2013
Mailing address204 McCollum Dr, Suite 101, Laramie, WY 82070-5151

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Anesthesia Associates Of Laramie Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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