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

Individual provider Family Medicine Physician · NPI 1063732758

Ian Wallace, MD is a Family Practice in Longmont, Colorado. Graduated from University of Colorado School of Medicine, Denver in 2010, 16 years ago. Practices with Salud Family Health, a 71-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
16
Trained at
University of Colorado School of Medicine, Denver
Licensed in
CO
In the registry since
2010
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

220 E Rogers Rd
Longmont, CO 80501-6027
Phone: (303) 697-2583
Fax: (303) 682-6419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DR.0052047 (CO)

Record details

NPI number1063732758
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2010
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023
Mailing address203 S Rollie Ave, Fort Lupton, CO 80621-1508

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2010 (16 years in practice)
Group practice Salud Family Health — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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