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

Justin Robert Wallace, MD

Individual provider Vascular Surgery Physician · NPI 1033372594

Justin Robert Wallace, MD is a Vascular Surgery in Cranberry Township, Pennsylvania. Graduated from University of California, Geffen School of Medicine in 2008, 18 years ago. Practices with Butler Medical Providers, a 354-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
18
Trained at
University of California, Geffen School of Medicine
Licensed in
PA
In the registry since
2008
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

51 Dutilh Rd Ste 100
Cranberry Township, PA 16066-4148
Phone: (724) 278-3484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence MD443733 (PA)

Record details

NPI number1033372594
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2008
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 1, 2023
Mailing address238 S. Pennsylvania Ave. #775, Greensburg, PA 15601-3661

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Butler Medical Providers — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cranberry Township