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

Dr. James Michael Wallace, MD

Individual provider Emergency Medicine Physician · NPI 1477707685

Dr. James Michael Wallace, MD is an Emergency Medicine Physician in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah and Washington.

Licensed in
UT, WA
In the registry since
2008
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

1528 Laird Ave
Salt Lake City, UT 84105-1730
Phone: (503) 475-8549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD60247504 (WA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 7471598-1205 (UT)

Record details

NPI number1477707685
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 14, 2008
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

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