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

Wallace Austin Smith, MD

Individual provider Dermatology Physician · NPI 1376800532

Wallace Austin Smith, MD is a Dermatology in St George, Utah. Graduated from Medical College of Wisconsin in 2012, 14 years ago. Practices with Southwest Skin and Cancer LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Nevada and Utah.

Years since qualifying
14
Trained at
Medical College of Wisconsin
Licensed in
NV, UT
In the registry since
2012
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

383 S 300 E
St George, UT 84770-3620
Phone: (435) 628-2826
Fax: (435) 628-2839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 9791675-1205 (UT)
Dermatology Physician Taxonomy 207N00000X · Licence 16478 (NV)

Record details

NPI number1376800532
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2012
Last updated in NPPESSeptember 27, 2016
Mailing address383 S 300 E, St George, UT 84770-3620

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2012 (14 years in practice)
Group practice Southwest Skin And Cancer Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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